致命的“生气”——渭南市第一医院重症医学科成功救治一例气肿性肾盂肾炎（EPN）
<div class="wx_rich_media_content" id="jsWxContainer"><section data-cacheurl="" data-pm-slice="0 0 []" data-remoteid="" data-role="outer" style='padding: 10px;background-size: auto;background-repeat: repeat;background-position: center center;box-sizing:border-box;https://mmbiz.qpic.cn/sz_mmbiz_png/uiaicW0hib4AhaZOib0Gtd6P8xfZNwRgRicnes62MIjUL0ItNS3y6Susa4wVBM5uiczsL1VcwsC8mkmCTZRnnKrthYftOicCgJrPUhhziaryM1T51lA/640?wx_fmt=png&from=appmsg");'><section data-role="paragraph"><p style='text-indent: 1.88235em;margin-bottom: 8px;'><span style='color: rgb(15, 17, 21); font-size: 16px; caret-color: red;'><span leaf="" style=''><font face="宋体">六十八岁的张阿姨突然呕吐、腹泻、发高烧，紧接着神志不清，陷入昏睡。家人火速将她送至渭南市第一医院急诊，但病情仍在急剧恶化——<span textstyle='' style='font-weight: bold; text-decoration-line: underline;'>体温升至39℃，心跳飙到175次/分，呼吸急促达40次/分，血压骤降至53/23mmHg，陷入休克状态！</span></font></span></span></p><section style='text-align: center;margin-bottom: 8px;' nodeleaf=""><span class="wxart_image" wx-style='display:inline-block;width: 458px;height: 344px;'></span></section><p style='margin-top: 16px; margin-bottom: 8px; color: rgb(15, 17, 21); font-size: 16px; text-indent: 1.88235em;'><span leaf="" style=''><font face="宋体">急诊补液后，她被紧急转入ICU。检查结果显示，其血液感染指标显著攀升：白细胞15.79×10/L，中性粒细胞比例高达92.8%，降钙素原（PCT）升至238ng/ml，超敏C反应蛋白达138.7mg/L。随后的血培养与尿培养均检出大肠埃希菌，尿中同时还发现屎肠球菌。</font></span></p><p style='margin-top: 16px; margin-bottom: 8px; color: rgb(15, 17, 21); font-size: 16px; text-indent: 1.88235em;'><span leaf=""><font face="宋体">张阿姨有8年多的糖尿病史，长期血糖控制不佳，此次伴有肾区叩击痛及左下腹压痛。<span textstyle='' style='font-weight: bold; text-decoration-line: underline;'>全腹CT提示：双肾稍饱满，周围有渗出，左侧肾盂、输尿管及膀胱内可见积气</span>。至此，谜底揭开——她患上了俗称肾脏“生气”的<span textstyle='' style='color: rgb(0, 128, 255);font-weight: bold;'>气肿性肾盂肾炎</span>，<span textstyle='' style='font-weight: bold; text-decoration-line: underline;'>并已引发脓毒性休克、脓毒症性凝血病、急性肾损伤等多种危重并发症。</span></font></span></p><p style='margin-top: 16px; margin-bottom: 8px; color: rgb(15, 17, 21); font-size: 16px; text-indent: 1.88235em;'><span leaf=""><font face="宋体">在ICU救治期间，检验科多次报告危急值：血小板一度跌至极度危险的13×10/L，活化部分凝血活酶时间（APTT）显著延长，超过200秒，生命悬于一线。</font></span></p><section style='text-align: center;' nodeleaf=""><span class="wxart_image" wx-style='display:inline-block;'></span></section><p style='margin-top: 16px; margin-bottom: 8px; color: rgb(15, 17, 21); font-size: 16px; text-indent: 1.88235em;'><span leaf="" style=''><font face="宋体">经过ICU医护团队连续10天全力抢救，张阿姨的病情终于逐渐稳定，随后转入普通病房继续治疗。</font></span></p><section style='text-align: center;margin-bottom: 8px;' nodeleaf=""><span class="wxart_image" wx-style='display:inline-block;width: 411px;height: 548px;'></span></section><p style='text-align: justify; margin-bottom: 8px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><strong style=''><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><font face="宋体"><strong style=''><span leaf="" style=''><span textstyle='' style='color: rgb(0, 128, 255);'>一、</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>“</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>肾脏生气</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>”</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>为啥这么危险？</span></span></strong></font></span></strong></span></p><p style='text-align: justify; margin-bottom: 8px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">其实，“肾脏生气”的学名是气肿性肾盂肾炎（EPN），简单说就是肾脏被细菌、真菌等感染后，出现坏死还产生气体的凶险急危重症。这种病虽然少见，但来势汹汹：细菌或真菌等在肾脏里“作乱”，不仅让肾脏组织坏死，还会产生大量气体，这些气体可能扩散到肾周围的组织，甚至腹膜后。如果没能及时发现和治疗，病情会迅速恶化：从发烧、腰痛、呕吐、腹泻，很快进展为全身严重感染（脓毒症）、感染性休克，甚至多个器官功能衰竭，死亡率最高能达到78%！</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><strong><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><font face="宋体"><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>二、输尿管积气一定就是</span></span></strong><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>EPN</span></span></strong><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>吗？</span></span></strong></font></span></strong></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">当CT报告上提示输尿管积气时，临床医生通常会思考气体到底是从哪里来的？是“从上下来”（肾源/顺行性），还是“从下上来”（膀胱源/逆行性），或者是“从旁边来”（瘘管）。</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 0em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">常见的鉴别疾病包括：</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">1.输尿管/膀胱肠瘘：输尿管/膀胱与肠道之间形成异常通道，导致肠道气体进入输尿管系统。</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">2.医源性操作/创伤或异物</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">·膀胱镜检查、输尿管镜检查。</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">·输尿管支架置入或更换后。</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">·逆行肾盂造影后残留气体。</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">.穿透伤或者异物滞留导致泌尿道与含气腔道相通。</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">3.血行性原因</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">·理论上，极严重的全身性产气菌感染，细菌通过血液在输尿管壁产气，但极其罕见。</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'><font face="宋体">三、得了这种病能治好吗？</font></span></span></strong></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">肾脏“生气”虽然凶险，但早发现、早治疗就能大大降低风险。医生会根据CT提示的病情轻重（分Ⅰ-Ⅳ 型，主要看气体扩散范围）来制定治疗方案：</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><strong><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><font face="宋体"><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>1. </span></span></strong><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>紧急抢救，稳住生命体征</span></span></strong></font></span></strong></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">如果已经出现休克、严重感染，第一步就是“救命”：快速输液（晶胶体液体）补充血容量，让血压回升。必要时输注血小板、冷沉淀等血液制品帮助患者渡过危险期。</font></span></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">用广谱抗生素“火力全开”杀细菌等，等细菌培养结果出来后，再调整成针对性的抗生素（比如第三代头孢、碳青霉烯类）；</font></span></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">严格控制血糖（尤其是糖尿病患者），用胰岛素把血糖稳住。</font></span></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">必要时吸氧、用药物（如去甲肾上腺素等）维持血压，全力扛过感染最严重的阶段。</font></span></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">必要时给予连续性血液净化（CRRT）清除炎症介质，稳定脏器功能，调整体内酸碱平衡。</font></span></span></p><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><strong><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><font face="宋体"><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>2. </span></span></strong><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>针对性治疗，清除</span></span></strong><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'> “</span></span></strong><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>气体和感染</span></span></strong><strong><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>”</span></span></strong></font></span></strong></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">穿刺引流：如果肾脏或周围有脓肿、积气，医生会通过穿刺把脓液和气体引出来，减轻肾脏压力。</font></span></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-size: 16px; color: rgb(0, 0, 0);'><span leaf=""><font face="宋体">手术治疗：少数病情特别严重（比如肾脏坏死严重、药物和引流无效）的患者，可能需要切除病变的肾脏，但现在随着治疗手段进步，多数人通过保守治疗就能好转。</font></span></span></p><p style='text-indent: 1.88235em; margin-bottom: 5px;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><strong style=''><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><font face="宋体"><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>截止</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>1</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>月</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>15</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>日，张阿姨在</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>ICU</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>治疗</span></span></strong><strong style=''><span leaf=""><span textstyle='' style='color: rgb(0, 128, 255);'>10</span></span></strong><strong style=''><span leaf="" style=''><span textstyle='' style='color: rgb(0, 128, 255);'>天后，感染指标以及纤溶产物逐渐下降，血小板计数也恢复正常水平。</span></span></strong></font></span></strong></span></p><section style='text-align: center;' nodeleaf=""><span class="wxart_image" wx-style='display:inline-block;width:333px;height:1107px;'></span></section><p style='text-align: justify; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><strong style=''><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><font face="宋体"><strong style=''><span leaf="" style=''>四、普通人怎么预防</span></strong><strong style=''><span leaf="">EPN</span></strong><strong style=''><span leaf="">（糖尿病人尤为注意）</span></strong></font></span></strong></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><font face="宋体"><strong><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><strong><span leaf="">1.</span></strong><strong><span leaf="">控好血糖是关键：</span></strong></span></strong><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span leaf="">尿路高血糖环境极容易让细菌滋生。糖尿病患者一定要遵医嘱吃药、打胰岛素，定期测血糖，避免血糖忽高忽低，不给细菌 “可乘之机”。</span></span></font></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><font face="宋体"><strong><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><strong><span leaf="">2.</span></strong><strong><span leaf="">多喝水，不憋尿：</span></strong></span></strong><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span leaf="">每天喝够2000ml水（约4瓶矿泉水），每2-3小时排一次尿，帮助肾脏 “冲洗” 细菌，减少感染机会。</span></span></font></span></p><p style='text-align: justify; margin-bottom: 5px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; text-indent: 1.88235em;'><span style='font-size: 16px; color: rgb(0, 0, 0);'><font face="宋体"><strong style=''><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><strong><span leaf="">3.</span></strong><strong><span leaf="">注意个人卫生：</span></strong></span></strong><span style='letter-spacing: 0px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;'><span leaf="" style=''>勤换内裤，每天清洗会阴，尤其女性，尿道比男性更短、粗、直、平。更要要避免尿路感染。</span></span></font></span></p><p><span leaf=""><br></span></p></section></section><section data-role="paragraph" data-pm-slice="0 0 []" style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: justify; color: rgb(34, 34, 34); font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; box-sizing: border-box !important;'><p style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; box-sizing: border-box !important;'><br></p></section><section class="mp_profile_iframe_wrp" nodeleaf=""><mp-common-profile class="js_uneditable custom_select_card mp_profile_iframe" data-pluginname="mpprofile" data-nickname="渭南市第一医院服务号" data-from="0" data-headimg="http://mmbiz.qpic.cn/mmbiz_png/Xz7nXk3fEEt3Gur9SCnHf8ibJlXNP8XYBRaUSRgOCicibOwOoU8dIcOJ3At8kmSggibavkjtiaaW42gibCVzp17lpwog/0?wx_fmt=png" data-signature="为患者提供线上缴费、报告查询、就诊信息查询等服务！" data-id="MzkzNDM2MTkxMQ==" data-is_biz_ban="0" data-service_type="2" data-verify_status="2"></mp-common-profile></section><p style='display: none;'><mp-style-type data-value="3"></mp-style-type></p></div><p></p> 多喝水，不憋尿，专注自己的身体健康 小医院，咥大活呢，了得 不能生气，伤身体 技术太厉害了！！！ 赵建国 发表于 2026-2-9 13:50小医院，咥大活呢，了得
门缝看人了吧？？？ @不倒翁 发表于 2026-2-9 15:29
门缝看人了吧？？？
不敢不敢，小医院还是有人才的 生气会影响健康 身体健康最重要啊
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