[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fMcnra9SL-zxv4N_cideezhplmr7RN4FQgMK-rem-_CY":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":33,"type":34},[],"2025-05-24 16:44:49",190512810,[8,9,10,11,12],"左心功能不全","右心功能不全","全心衰竭","心功能Ⅲ级","心功能Ⅳ级",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},33,"ca4bfc1e35e86f28738398074e266408","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F31fffd9b1ab8ed93a1abd0aec5eb6142.jpg","西医内科学（中医学专业）","work_43157096","心力衰竭","女,52岁,发现二尖瓣狭窄20年,夜间阵发性呼吸困难10年,下肢水肿,腹胀,右上腹痛5年.1周前开始咳嗽,咳黄痰.需高枕卧位,颈静脉怒张,双肺底有少量湿啰音,肝肋下2指,质中,压痛,下肢可凹性水肿,该患者目前的心功能评价为",[22,35,46,56,67,78,88,98,108,116],{"answer":23,"createTime":24,"id":25,"options":26,"question":32,"source":33,"type":34},[],"2025-05-24 16:44:37",190512710,[27,28,29,30,31],"常规心电图","超声心动图","动态心电图","放射性核素","心电图运动负荷试验","评价心功能最常见的检查方法","v1",0,{"answer":36,"createTime":37,"id":38,"options":39,"question":45,"source":33,"type":34},[],"2025-05-24 16:44:39",190512715,[40,41,42,43,44],"肺循环高压","体循环高压","回心血量增加","主动脉瓣关闭不全","血细胞比容增大","引起左心室后负荷增高的主要因素是",{"answer":47,"createTime":48,"id":49,"options":50,"question":55,"source":33,"type":34},[],"2025-05-24 16:44:40",190512719,[51,52,43,53,54],"二尖瓣狭窄","肺动脉瓣狭窄","主动脉瓣狭窄","体循环动脉高压","最可能引起左心室前负荷增加的是",{"answer":57,"createTime":58,"id":59,"options":60,"question":66,"source":33,"type":34},[],"2025-05-24 16:44:43",190512724,[61,62,63,64,65],"过度劳累","摄入液体过多","心肌缺血","室性期前收缩","呼吸道感染","老年心衰加重的最常见诱因",{"answer":68,"createTime":69,"id":70,"options":71,"question":77,"source":33,"type":34},[],"2025-05-24 16:44:45",190512729,[72,73,74,75,76],"肺动脉栓塞、心律失常","感染、心律失常","妊娠、感染","贫血、心律失常","输液过量、过快","慢性心功能不全最常见的诱因是",{"answer":79,"createTime":69,"id":80,"options":81,"question":87,"source":33,"type":34},[],190512730,[82,83,84,85,86],"心功能I级","心功能II级","心功能III级","心功能IV级","以上都不是","患者每天从事日常活动时即出现心悸,气短症状,休息后既缓解,其心功能分级应为",{"answer":89,"createTime":69,"id":90,"options":91,"question":97,"source":33,"type":34},[],190512734,[92,93,94,95,96],"劳力性呼吸困难","夜间阵发性呼吸困难","端坐呼吸","咯血","少尿","左心衰最早出现的临床症状是",{"answer":99,"createTime":69,"id":100,"options":101,"question":107,"source":33,"type":34},[],190512738,[102,103,104,105,106],"下垂性对称性水肿","肝颈静脉回流征阳性","双肺底闻及湿啰音","胸腔积液","颈静脉怒张","单纯左心衰的典型体征是",{"answer":109,"createTime":110,"id":111,"options":112,"question":115,"source":33,"type":34},[],"2025-05-24 16:44:46",190512742,[94,113,92,114,103],"心源性哮喘","阵发性呼吸困难","右心衰体循环淤血的表现是",{"answer":117,"createTime":110,"id":118,"options":119,"question":125,"source":33,"type":34},[],190512754,[120,121,122,123,124],"心率明显加快","心律显著不齐","胸骨左缘3-4肋间闻及舒张期奔马律","胸骨左缘3-4肋间闻及收缩期杂音","肺动脉瓣区第二心音亢进","右心衰患者最有诊断意义的体征是"]