https://wechatpub.online/posts/%E9%98%B2%E7%8C%9D%E6%AD%BB%E2%91%A1%EF%BD%9C%E7%8C%9D%E6%AD%BB%E5%89%8D%E8%BA%AB%E4%BD%93%E7%BB%99%E8%BF%87%E7%9A%844%E4%B8%AA%E4%BF%A1%E5%8F%B7/ 2026-10-05T08:09:35.000Z

在门诊接诊时，我常听到患者说：“医生，我平时身体挺好的，怎么突然就……” 

https://wechatpub.online/posts/%E5%9B%BD%E5%BA%86%E8%BF%94%E7%A8%8B%E5%89%8D%E5%BF%85%E7%9C%8B%EF%BC%9A%E4%B9%85%E5%9D%90%E3%80%81%E7%96%B2%E5%8A%B3%E9%A9%BE%E9%A9%B6%E3%80%81%E5%AE%89%E5%85%A8%E5%BA%A7%E6%A4%85%E4%B8%89%E9%81%93%E5%85%B3/ 2026-10-04T04:10:45.000Z

“国庆高速充电大考”今天在今日头条拿了超过 1300 万热度——上亿人同时在路上，充电桩要排队，人也容易疲惫。]]>

2026-10-05T09:34:05.293Z 何坚 https://wechatpub.online/posts/%E9%98%B2%E7%8C%9D%E6%AD%BB%E2%91%A3%EF%BD%9C%E6%8A%8A%E2%80%9C%E4%B8%89%E9%AB%98%E2%80%9D%E6%8C%89%E4%B8%8B%E5%8E%BB%EF%BC%8C%E6%8B%86%E6%8E%89%E8%A1%80%E7%AE%A1%E9%87%8C%E7%9A%84%E2%80%9C%E5%AE%9A%E6%97%B6%E7%82%B8%E5%BC%B9/ 2026-10-04T04:10:45.000Z

在泌尿外科门诊，我常遇到一些患者，他们来找我看血尿、前列腺问题，但在检查报告单上，却总能看到那一串令人心惊肉跳]]>

2026-10-05T12:08:06.770Z 何坚 https://wechatpub.online/posts/%E5%81%87%E6%9C%9F%E4%BC%A4%E8%83%83%E7%9A%84%E4%B8%8D%E6%98%AF%E5%86%B0%EF%BC%8C%E6%98%AF%E5%96%9D%E6%B3%95%EF%BC%9B%E5%B0%91%E9%A3%9F%E5%A4%9A%E9%A4%90%E7%9C%9F%E6%9B%B4%E5%81%A5%E5%BA%B7%E5%90%97/ 2026-10-03T03:57:59.000Z

国庆假期第二天，两条饮食话题同时上了微博热搜：一条说「真正伤胃的不是冰，是喝法」，一条说「少食多餐会让胰岛一直]]>

2026-10-05T09:34:05.289Z 何坚 https://wechatpub.online/posts/%E9%98%B2%E7%8C%9D%E6%AD%BB%E2%91%A2%EF%BD%9C40%E5%B2%81%E5%90%8E%E5%BF%85%E5%81%9A%E7%9A%84%E2%80%9C%E5%BF%83%E8%84%8F%E5%AE%89%E6%A3%80%E2%80%9D%E6%B8%85%E5%8D%95/ 2026-10-03T03:57:59.000Z

很多患者在门诊时常问我：“主任，我平时没觉得哪儿不舒服，也没什么症状，需要专门去查查心脏吗？” 

2026-10-05T09:38:54.165Z 何坚 https://wechatpub.online/posts/%E6%9F%A5%E5%87%BA%E2%80%9C%E9%95%9C%E4%B8%8B%E8%A1%80%E5%B0%BF%E2%80%9D%EF%BC%8C%E5%88%B0%E5%BA%95%E6%98%AF%E5%9C%A8%E2%80%9C%E8%99%9A%E6%83%8A%E4%B8%80%E5%9C%BA%E2%80%9D%E8%BF%98%E6%98%AF%E2%80%9C%E8%AD%A6%E6%8A%A5%E6%8B%89%E5%93%8D%E2%80%9D%EF%BC%9F/ 2026-09-30T01:06:16.000Z

]]>

2026-10-05T09:38:54.156Z 何坚 https://wechatpub.online/posts/%E8%80%81%E7%8E%8B%E7%9A%84%E8%85%B0%E5%AD%90%E5%B0%8F%E6%B2%99%E7%B2%92%E6%BC%82%E6%B5%81%E8%AE%B0/ 2026-09-30T01:06:16.000Z

老王今年四十五，平时身体倍儿棒，连感冒都少。可就在上个夏天的一个深夜，他正睡得香，左侧腰子突然像被人攥住拧了一]]>

2026-10-05T09:34:05.299Z 何坚 https://wechatpub.online/posts/%E7%BB%93%E7%9F%B3%E6%80%BB%E5%8F%8D%E5%A4%8D%EF%BC%9F%E8%BF%99%E4%BB%BD%E2%80%9C%E9%98%B2%E5%A4%8D%E5%8F%91%E9%A5%AE%E9%A3%9F%E6%B8%85%E5%8D%95%E2%80%9D%E8%AF%B7%E6%94%B6%E5%A5%BD/ 2026-09-28T23:51:02.000Z

很多泌尿外科的患者在结石手术或碎石治疗后，都会问我同一个问题：“医生，这次手术虽然把石头排出来了，但我以后还会]]>

2026-10-05T09:34:05.298Z 何坚 https://wechatpub.online/posts/%E9%AB%98%E5%B0%BF%E9%85%B8%E7%9A%84%E5%8D%B1%E5%AE%B3%E4%B8%8D%E6%AD%A2%E5%85%B3%E8%8A%82%EF%BC%9A%E6%AF%94%E7%97%9B%E9%A3%8E%E6%9B%B4%E8%AF%A5%E6%80%95%E7%9A%84%EF%BC%8C%E5%85%B6%E5%AE%9E%E6%98%AF%E5%AE%83%E5%AF%B9%E8%82%BE%E8%84%8F%E7%9A%84%E2%80%9C%E9%9A%90%E5%BD%A2%E6%89%93%E5%87%BB/ 2026-09-28T23:51:02.000Z

很多患者在体检时看到“高尿酸血症”这一项，往往会有一种“侥幸心理”：“医生，我关节一点都不疼，也没发过]]>

2026-10-05T09:34:05.303Z 何坚 https://wechatpub.online/posts/2026-09-29-%E6%B3%8C%E5%B0%BF%E5%A4%96%E7%A7%91%E9%87%8F%E8%A1%A8%E6%80%BB%E8%A7%88/ 2026-09-28T16:00:00.000Z

20 个泌尿男科、睡眠情绪与疼痛康复自评量表，每个测什么、什么时候该测、分数怎么读，附站内填写入口。

2026-10-05T11:28:11.745Z 何坚 https://wechatpub.online/posts/%E4%B8%8D%E7%97%9B%E7%9A%84%E5%B0%BF%E9%85%B8/ 2026-09-27T13:29:50.000Z

老钱在一家公司当了三十年会计，账目从来没出过差错。他有个信条：账上没动静，就是没风险。

去年单位]]>

2026-10-05T09:34:05.287Z 何坚 https://wechatpub.online/posts/%E8%86%80%E8%83%B1%E7%BB%93%E7%9F%B3%E4%B8%BA%E4%BB%80%E4%B9%88%E2%80%9C%E5%81%8F%E7%88%B1%E2%80%9D%E8%80%81%E4%BA%BA%E5%92%8C%E5%B0%8F%E5%AD%A9%EF%BC%9F/ 2026-09-27T13:29:50.000Z

在泌尿外科门诊，我经常会遇到两类截然不同的患者：一类是头发花白、步履蹒跚的老人家；另一类则是扎着辫子、眼神怯生]]>

2026-10-05T09:34:05.301Z 何坚 https://wechatpub.online/posts/%E3%80%90%E7%A7%91%E6%99%AE%E3%80%91%E5%B0%BF%E8%B7%AF%E7%BB%93%E7%9F%B3%EF%BC%8C%E7%8E%B0%E5%9C%A8%E2%80%9C%E5%BE%AE%E5%88%9B%E2%80%9D%E5%88%B0%E4%BB%80%E4%B9%88%E7%A8%8B%E5%BA%A6%E4%BA%86%EF%BC%9F%E8%81%8A%E8%81%8A%E8%BD%AF%E9%95%9C%E9%92%AC%E6%BF%80%E5%85%89%E7%A2%8E%E7%9F%B3%E7%9A%84%E6%9C%80%E6%96%B0%E8%BF%9B%E5%B1%95/ 2026-09-27T01:39:38.000Z

【科普】尿路结石，现在“微创”到什么程度了？聊聊软镜钬激光碎石的最新进展

2026-10-05T09:34:05.287Z 何坚 https://wechatpub.online/posts/%E8%80%81%E5%91%A8%E7%9A%84_%E5%95%A4%E9%85%92%E9%85%8D%E6%B5%B7%E9%B2%9C_%E4%B9%8B%E7%97%9B%EF%BC%9A%E5%85%B3%E8%8A%82%E9%87%8C%E4%B8%8B%E4%BA%86%E4%B8%80%E5%9C%BA_%E6%9A%B4%E9%A3%8E%E9%9B%AA/ 2026-09-27T01:39:38.000Z

老周今年五十出头，身体一直挺硬朗。上周末老同学聚会，他一高兴，冰啤酒就着一大盘小龙虾和海鲜拼盘，聊到后半夜才散]]>

2026-10-05T09:34:05.299Z 何坚 https://wechatpub.online/posts/%E7%AE%A1%E4%BD%8F%E4%BA%86%E5%98%B4%E6%B2%A1%E7%AE%A1%E4%BD%8F%E7%A7%A4/ 2026-09-26T02:42:02.000Z

老郑在物流园干了三十年仓库管理员，管账一把好手，就是自己的肚子一直没管住——一米七二的个头，一百八十六斤，肚子]]>

2026-10-05T09:34:05.298Z 何坚 https://wechatpub.online/posts/%E8%8F%A0%E8%8F%9C%E7%9A%84%E5%86%A4%E6%A1%88/ 2026-09-26T02:42:02.000Z

2026-10-05T09:34:05.301Z 何坚 https://wechatpub.online/posts/%E4%B8%80%E9%94%85%E8%80%81%E7%81%AB%E6%B1%A4%E7%82%96%E9%AB%98%E5%B0%BF%E9%85%B8/ 2026-09-25T01:06:08.000Z

老李出院回家了。

结石手术做得顺利，医生叮嘱多喝水，他这回是真听话了，保温杯不离手。可老伴看在眼]]>

2026-10-05T09:34:05.287Z 何坚 https://wechatpub.online/posts/%E5%89%8D%E5%88%97%E8%85%BA%E8%82%A5%E5%A4%A7%EF%BC%9A%E6%98%AF%E8%80%81%E4%BA%86%E7%9A%84%E8%87%AA%E7%84%B6%E7%8E%B0%E8%B1%A1%EF%BC%8C%E8%BF%98%E6%98%AF%E5%BF%85%E9%A1%BB%E6%89%8B%E6%9C%AF%E7%9A%84%E4%BF%A1%E5%8F%B7/ 2026-09-25T01:06:08.000Z

门诊常遇到这样的老先生：排尿越来越细、夜里起来三四次、站半天尿不出。一问，拖了几年。”不就是老了嘛，忍忍算了。]]>

2026-10-05T09:34:05.291Z 何坚 https://wechatpub.online/posts/%E5%B0%BF%E9%85%B8%E9%AB%98%E4%BA%86%EF%BC%8C%E4%BD%86%E6%B2%A1%E7%97%9B%E9%A3%8E%EF%BC%8C%E5%88%B0%E5%BA%95%E8%A6%81%E4%B8%8D%E8%A6%81%E5%90%83%E8%8D%AF%EF%BC%9F/ 2026-09-23T13:15:01.000Z

在门诊，我经常听到患者问：“医生，我查出尿酸高，但一点都不疼，也不红肿，这有必要吃药吗？是不是没必要折腾自己？]]>

2026-10-05T09:34:05.294Z 何坚 https://wechatpub.online/posts/%E5%BC%A0%E5%A4%A7%E7%88%B7%E7%9A%84_%E5%A4%9C%E5%8D%8A%E6%83%8A%E9%AD%82_%EF%BC%9A%E5%89%8D%E5%88%97%E8%85%BA%E5%A2%9E%E7%94%9F%EF%BC%8C%E5%88%B0%E5%BA%95%E8%AF%A5%E9%80%89%E5%93%AA%E7%A7%8D%E8%8D%AF%EF%BC%9F/ 2026-09-23T13:15:01.000Z

]]>

2026-10-05T09:38:22.030Z 何坚 https://wechatpub.online/posts/%E5%95%A4%E9%85%92%E9%85%8D%E6%B5%B7%E9%B2%9C%EF%BC%8C%E4%B8%80%E4%B8%AA%E9%80%81%E8%B4%A7%E4%B8%80%E4%B8%AA%E5%A0%B5%E9%97%A8/ 2026-09-23T00:00:00.000Z

病房里，老周的大脚趾还裹着纱布，龇牙咧嘴地跟他诉苦："半夜疼醒的，像脚趾头里塞了玻璃碴。"

2026-10-05T09:34:05.292Z 何坚 https://wechatpub.online/posts/%E7%BB%93%E7%9F%B3%E5%88%87%E4%BA%86%E5%8F%88%E9%95%BF%EF%BC%8C%E8%80%81%E6%9D%8E%E6%89%8D%E6%98%8E%E7%99%BD%EF%BC%9A%E5%87%B6%E6%89%8B%E4%B8%8D%E6%98%AF%E5%8C%BB%E7%94%9F%EF%BC%8C%E6%98%AF%E4%BB%96%E9%82%A3%E6%9D%AF%E6%B0%B4/ 2026-09-23T00:00:00.000Z

昨天讲过那个喝甜饮料喝出高尿酸的小陈。今天要说的是他旁边病床上的老李。

2026-10-05T09:34:05.298Z 何坚 https://wechatpub.online/posts/AUA-2026-%E7%BB%93%E7%9F%B3%E6%8C%87%E5%8D%97%E6%94%B9%E4%BA%86%E4%BB%80%E4%B9%88%EF%BC%9F%E4%B8%80%E6%AC%A1%E5%80%BC%E5%BE%97%E9%80%90%E6%9D%A1%E5%AF%B9%E7%85%A7%E7%9A%84%E6%9B%B4%E6%96%B0/ 2026-09-22T00:26:27.000Z

作为一个在门诊和手术台之间跑了几十年的泌尿外科医生，最近同行群里讨论最多的，是 AUA（美国泌尿外科协会）20]]>

2026-10-05T09:34:05.284Z 何坚 https://wechatpub.online/posts/%E5%89%8D%E5%88%97%E8%85%BA%E5%A2%9E%E7%94%9F%E5%88%AB%E5%8F%AA%E7%9F%A5%E9%81%93%E5%BF%8D%EF%BC%9A%E8%BF%99%E5%87%A0%E5%B9%B4%EF%BC%8C%E5%90%83%E8%8D%AF%E6%B2%BB%E7%96%97%E6%9C%89%E4%BA%86%E4%B8%8D%E5%B0%91%E6%96%B0%E8%BF%9B%E5%B1%95/ 2026-09-22T00:26:27.000Z

https://wechatpub.online/posts/%E4%B8%BA%E4%BB%80%E4%B9%88%E2%80%9C%E6%88%92%E6%B5%B7%E9%B2%9C%E2%80%9D%E4%B8%8D%E5%A6%82%E2%80%9C%E6%88%92%E7%94%9C%E9%A5%AE%E2%80%9D_%E6%8F%AD%E5%BC%80%E5%B0%BF%E9%85%B8%E9%AB%98%E7%9A%84%E9%9A%90%E5%BD%A2%E6%8E%A8%E6%89%8B/ 2026-09-21T00:00:21.000Z

为什么“戒海鲜”不如“戒甜饮”?揭开尿酸高的隐形推手

2026-10-05T09:34:05.288Z 何坚 https://wechatpub.online/posts/%E8%82%BE%E7%BB%93%E7%9F%B3%E6%82%A3%E8%80%85%E8%AF%A5%E6%80%8E%E4%B9%88%E5%96%9D%E6%B0%B4_%E4%B8%80%E4%BB%BD%E6%B3%8C%E5%B0%BF%E5%A4%96%E7%A7%91%E5%8C%BB%E7%94%9F%E7%9A%84%E2%80%9C%E9%A5%AE%E6%B0%B4%E5%A4%84%E6%96%B9%E2%80%9D/ 2026-09-17T00:00:26.000Z

肾结石患者该怎么喝水?一份泌尿外科医生的“饮水处方”

2026-10-05T09:34:05.300Z 何坚 https://wechatpub.online/posts/%E4%B8%8D%E7%A2%B0%E6%B5%B7%E9%B2%9C%E4%B8%8D%E5%96%9D%E9%85%92%EF%BC%8C%E5%B0%BF%E9%85%B8%E6%80%8E%E4%B9%88%E8%BF%98%E9%AB%98%EF%BC%9F%E2%80%94%E2%80%94%E8%97%8F%E5%9C%A8%E9%A5%AE%E6%96%99%E9%87%8C%E7%9A%84_%E7%94%9C%E8%9C%9C%E9%99%B7%E9%98%B1/ 2026-09-16T13:45:54.000Z

三十五岁的小陈，拿到体检报告就懵了。

尿酸 520，箭头红得刺眼。他不服气：”医生，我从来不碰海]]>

2026-10-05T09:34:05.287Z 何坚 https://wechatpub.online/posts/%E5%8D%8A%E5%A4%9C%E7%97%9B%E9%86%92%E7%9A%84%E5%A4%A7%E8%84%9A%E8%B6%BE_%E4%B8%80%E5%9D%97%E2%80%9C%E5%B0%8F%E7%9B%90%E7%B2%92%E2%80%9D%E6%83%B9%E7%9A%84%E7%A5%B8/ 2026-09-16T00:01:22.000Z

半夜痛醒的大脚趾:一块“小盐粒”惹的祸

2026-10-05T09:34:05.292Z 何坚 https://wechatpub.online/posts/%E8%86%80%E8%83%B1%E7%BB%93%E7%9F%B3%E6%80%8E%E4%B9%88%E6%B2%BB%E7%96%97%EF%BC%9F%E9%80%89%E5%AF%B9%E6%96%B9%E5%BC%8F%EF%BC%8C%E5%B0%91%E5%8F%97%E7%BD%AA/ 2026-09-15T14:28:57.000Z

在泌尿外科门诊，膀胱结石不像肾结石、输尿管结石那样”声名在外”，但它带来的下尿路症状——尿频、尿急、排尿中断、]]>

2026-10-05T09:34:05.301Z