[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"kakomon-q-2026-hissu-23":3},{"slug":4,"exam_year":5,"exam_round":6,"section":7,"section_code":8,"number":9,"body":10,"choices":11,"correct_indices":28,"explanation":29,"has_explanation":19,"tags":30},"2026-hissu-23",2026,4,"必須","hissu",23,"出血傾向の原因はどれか。",[12,16,20,23,25],{"index":13,"body":14,"is_correct":15},1,"好酸球増多",false,{"index":17,"body":18,"is_correct":19},2,"血小板減少",true,{"index":21,"body":22,"is_correct":15},3,"好中球減少",{"index":6,"body":24,"is_correct":15},"赤血球増多",{"index":26,"body":27,"is_correct":15},5,"リンパ球減少",[17],"正答は2（血小板減少）。血小板は一次止血の主役で、減少すると止血できず出血傾向（点状出血・紫斑など）を示す。1好酸球増多・3好中球減少・5リンパ球減少は白血球系の異常で出血傾向の直接原因ではない、4赤血球増多は多血症で出血傾向ではない。よって血小板減少。**覚え方**: 出血傾向の原因は『血小板減少』か『凝固因子の異常』。白血球の増減は関係しない。",null]