ClawHub

Surgery-PMPH-10edition

Data & APIs

基于《外科学》人民卫生出版社第10版，涵盖240项外科及急危重症临床技能，涵盖17个专业领域的规范操作与管理。项目地址：https://github.com/xllgreen/Surgery-PMPH-10edition-

Install

openclaw skills install surgery-pmph-10edition

SKILL 核心配置

本文件为所有技能的注册表，每个技能条目包含：

  • name: 技能标识符（对应同名文件夹）
  • display: 中文显示名称
  • category: 所属分类
  • trigger: 触发条件/使用时机
  • ref: 详细文档路径

🚑 急诊与复苏 (15)

  • name: cpr-contraindicated-drugs-and-indications display: CPR禁忌药物与适应症 trigger: 存在特定电解质紊乱/心律失常/中毒时评估CPR用药 ref: cpr-contraindicated-drugs-and-indications/SKILL.md

  • name: real-time-cpr-quality-monitoring display: 实时CPR质量监测 trigger: 心搏骤停患者接受胸外按压时 ref: real-time-cpr-quality-monitoring/SKILL.md

  • name: defibrillation-operation-protocol display: 电除颤操作规范 trigger: 心搏骤停出现室颤/无脉性室速时 ref: defibrillation-operation-protocol/SKILL.md

  • name: hemorrhagic-shock-transfusion-guidelines display: 失血性休克输血指南 trigger: 大量失血导致低血容量性休克 ref: hemorrhagic-shock-transfusion-guidelines/SKILL.md

  • name: shock-volume-resuscitation-plasma-substitute display: 休克容量复苏与血浆代用品应用 trigger: 低血容量性/失血性/感染性休克早期 ref: shock-volume-resuscitation-plasma-substitute/SKILL.md

  • name: bp-cvp-guided-fluid-resuscitation display: BP/CVP导向液体复苏 trigger: 休克/低血容量/术后血流动力学不稳定 ref: bp-cvp-guided-fluid-resuscitation/SKILL.md

  • name: shock-microcirculation-staging-analysis display: 休克微循环分期分析 trigger: 出现有效循环血容量锐减和组织灌注不足 ref: shock-microcirculation-staging-analysis/SKILL.md

  • name: damage-control-resuscitation display: 损伤控制复苏策略 trigger: 严重创伤伴大出血/致死三联征风险 ref: damage-control-resuscitation/SKILL.md

  • name: tetanus-comprehensive-treatment display: 破伤风综合治疗 trigger: 外伤后出现张口困难/肌强直/阵发性痉挛 ref: tetanus-comprehensive-treatment/SKILL.md

  • name: hyperkalemia-emergency-management display: 高钾血症急救处理 trigger: 血钾>6.5mmol/L或ECG高钾改变 ref: hyperkalemia-emergency-management/SKILL.md

  • name: hypocalcemia-emergency-management display: 低钙血症急救处理 trigger: 血钙<2.25mmol/L伴手足抽搐/喉痉挛 ref: hypocalcemia-emergency-management/SKILL.md

  • name: metabolic-acidosis-bicarbonate-therapy display: 代谢性酸中毒补碱治疗 trigger: pH<7.2且HCO₃⁻<10mmol/L ref: metabolic-acidosis-bicarbonate-therapy/SKILL.md

  • name: thyroid-storm-recognition-and-multimodal-treatment display: 甲状腺危象识别与治疗 trigger: 甲亢术后12-36h出现高热/心动过速 ref: thyroid-storm-recognition-and-multimodal-treatment/SKILL.md

  • name: thyroid-postop-airway-emergency-management display: 甲状腺术后气道紧急处理 trigger: 甲状腺术后48h内呼吸困难伴颈部肿胀 ref: thyroid-postop-airway-emergency-management/SKILL.md

  • name: ample-history-taking-in-secondary-trauma-assessment display: AMPLE病史采集法则 trigger: 创伤患者完成初次评估后需系统采集病史 ref: ample-history-taking-in-secondary-trauma-assessment/SKILL.md

🦴 创伤与骨折 (28)

  • name: crash-plan-systematic-physical-examination display: C-R-A-S-H-P-L-A-N系统性查体 trigger: 创伤患者完成ABCDE初次评估后 ref: crash-plan-systematic-physical-examination/SKILL.md

  • name: abdominal-trauma-classification display: 腹部创伤分类 trigger: 腹部外伤史需明确损伤性质 ref: abdominal-trauma-classification/SKILL.md

  • name: open-fracture-debridement display: 开放性骨折清创术 trigger: Gustilo I-III度开放性骨折伤后24h内 ref: open-fracture-debridement/SKILL.md

  • name: colles-fracture-reduction-and-immobilization display: Colles骨折复位与固定 trigger: 伸直型桡骨远端骨折非手术治疗指征 ref: colles-fracture-reduction-and-immobilization/SKILL.md

  • name: patellar-fracture-management-principles display: 髌骨骨折处理原则 trigger: 确诊髌骨骨折后 ref: patellar-fracture-management-principles/SKILL.md

  • name: pelvic-fracture-classification-and-clinical-features display: 骨盆骨折分类与临床特征 trigger: 高能量暴力致骨盆疼痛/活动受限 ref: pelvic-fracture-classification-and-clinical-features/SKILL.md

  • name: neer-classification-for-proximal-humeral-fractures display: 肱骨近端骨折Neer分型 trigger: 影像学确认肱骨近端骨折 ref: neer-classification-for-proximal-humeral-fractures/SKILL.md

  • name: femoral-neck-fracture-classification-and-prognosis display: 股骨颈骨折分型与预后 trigger: 成人股骨颈骨折确诊后 ref: femoral-neck-fracture-classification-and-prognosis/SKILL.md

  • name: tibial-shaft-fracture-healing-risk-assessment display: 胫骨干骨折愈合风险评估 trigger: 胫骨中下1/3骨折 ref: tibial-shaft-fracture-healing-risk-assessment/SKILL.md

  • name: femoral-shaft-fracture-neurovascular-risk display: 股骨干骨折移位与神经血管风险评估 trigger: 确诊股骨干骨折 ref: femoral-shaft-fracture-neurovascular-risk/SKILL.md

  • name: cervical-spine-fracture-classification display: 颈椎骨折分类 trigger: 颈部外伤史影像提示颈椎异常 ref: cervical-spine-fracture-classification/SKILL.md

  • name: lumbar-disc-herniation-typing-and-treatment display: 腰椎间盘突出分型与治疗 trigger: 腰腿痛伴影像证实椎间盘突出 ref: lumbar-disc-herniation-typing-and-treatment/SKILL.md

  • name: compartment-syndrome-diagnosis-emergency display: 骨筋膜室综合征诊断与紧急处理 trigger: 肱骨髁上/胫骨上1/3骨折高危因素 ref: compartment-syndrome-diagnosis-emergency/SKILL.md

  • name: supracondylar-fracture-compartment-syndrome display: 肱骨髁上骨折并发骨筋膜室综合征 trigger: 儿童肱骨髁上骨折后骨筋膜室高压征象 ref: supracondylar-fracture-compartment-syndrome/SKILL.md

  • name: ponseti-method-for-clubfoot display: Ponseti马蹄内翻足矫形法 trigger: ≤9月龄先天性马蹄内翻足婴儿 ref: ponseti-method-for-clubfoot/SKILL.md

  • name: adolescent-idiopathic-scoliosis-bracing-protocol display: 青少年特发性脊柱侧凸支具治疗 trigger: Cobb角25°-40°骨骼未成熟者 ref: adolescent-idiopathic-scoliosis-bracing-protocol/SKILL.md

  • name: congenital-muscular-torticollis-nonsurgical-management display: 先天性肌性斜颈非手术管理 trigger: 1岁以内先天性肌性斜颈婴儿 ref: congenital-muscular-torticollis-nonsurgical-management/SKILL.md

  • name: ddh-radiographic-diagnosis display: 发育性髋关节脱位影像诊断 trigger: ≥3个月婴幼儿疑似DDH ref: ddh-radiographic-diagnosis/SKILL.md

  • name: young-burgess-pelvic-fracture-classification display: Young-Burgess骨盆骨折分型 trigger: 急性骨盆骨折急诊评估 ref: young-burgess-pelvic-fracture-classification/SKILL.md

  • name: tlics-score-based-thoracolumbar-fracture-management display: TLICS评分胸腰椎骨折决策 trigger: 需评估胸腰椎骨折手术指征 ref: tlics-score-based-thoracolumbar-fracture-management/SKILL.md

  • name: seddon-peripheral-nerve-injury-classification display: Seddon周围神经损伤分类 trigger: 肢体感觉运动障碍怀疑神经损伤 ref: seddon-peripheral-nerve-injury-classification/SKILL.md

  • name: common-peroneal-nerve-injury-management display: 腓总神经损伤管理 trigger: 腓骨近端骨折/压迫史伴足下垂 ref: common-peroneal-nerve-injury-management/SKILL.md

  • name: peripheral-nerve-compression-syndrome-diagnosis display: 周围神经卡压综合征诊断 trigger: 无外伤史的慢性神经症状 ref: peripheral-nerve-compression-syndrome-diagnosis/SKILL.md

  • name: peripheral-nerve-block-techniques-and-complication-management display: 外周神经阻滞与并发症管理 trigger: 需较大范围局麻且不宜全麻 ref: peripheral-nerve-block-techniques-and-complication-management/SKILL.md

  • name: cervical-spine-anatomy-and-mobility-analysis display: 颈椎解剖与活动度分析 trigger: 颈肩痛需评估颈椎生物力学负荷 ref: cervical-spine-anatomy-and-mobility-analysis/SKILL.md

  • name: spinal-cord-injury-classification-and-prognosis display: 脊髓损伤分类与预后 trigger: 脊柱外伤伴神经功能障碍 ref: spinal-cord-injury-classification-and-prognosis/SKILL.md

  • name: fracture-specific-signs-diagnosis display: 骨折特有体征诊断 trigger: 疑似骨折出现畸形/异常活动/骨擦音 ref: fracture-specific-signs-diagnosis/SKILL.md

  • name: knee-ligament-injury-diagnosis display: 膝关节韧带损伤诊断 trigger: 膝关节外伤史伴肿胀/疼痛/不稳定 ref: knee-ligament-injury-diagnosis/SKILL.md

🩺 普通外科与腹部急症 (25)

  • name: acute-appendicitis-in-special-populations display: 特殊人群急性阑尾炎 trigger: 新生儿/小儿/孕妇/老年/HIV患者疑似阑尾炎 ref: acute-appendicitis-in-special-populations/SKILL.md

  • name: acute-appendicitis-pathological-classification-and-prognosis display: 急性阑尾炎病理分型与转归 trigger: 确诊急性阑尾炎需病理分型 ref: acute-appendicitis-pathological-classification-and-prognosis/SKILL.md

  • name: appendix-anatomical-variants display: 阑尾解剖变异与症状定位 trigger: 腹痛位置不典型需推断阑尾方位 ref: appendix-anatomical-variants/SKILL.md

  • name: appendectomy-stump-management display: 阑尾切除术残端处理 trigger: 处理阑尾残端及系膜时 ref: appendectomy-stump-management/SKILL.md

  • name: strangulated-bowel-obstruction-emergency display: 绞窄性肠梗阻识别与急诊处置 trigger: 持续剧痛/早期休克/血性呕吐物 ref: strangulated-bowel-obstruction-emergency/SKILL.md

  • name: adhesive-small-bowel-obstruction-prevention-and-surgical-management display: 粘连性小肠梗阻预防与手术 trigger: 腹部手术史出现机械性肠梗阻 ref: adhesive-small-bowel-obstruction-prevention-and-surgical-management/SKILL.md

  • name: intussusception-enema-reduction display: 肠套叠灌肠复位 trigger: 阵发性哭闹/果酱样便/病程<48h ref: intussusception-enema-reduction/SKILL.md

  • name: volvulus-three-factor-risk-assessment display: 肠扭转三要素风险评估 trigger: 闭袢性肠梗阻高危背景伴急性腹痛 ref: volvulus-three-factor-risk-assessment/SKILL.md

  • name: external-hernia-classification-emergency display: 腹外疝临床分型与紧急处理 trigger: 疝块回纳困难/持续疼痛 ref: external-hernia-classification-emergency/SKILL.md

  • name: femoral-hernia-emergency-surgery display: 股疝诊断与紧急手术 trigger: 确诊股疝 ref: femoral-hernia-emergency-surgery/SKILL.md

  • name: incarcerated-inguinal-hernia-manual-reduction display: 嵌顿性腹股沟疝手法复位 trigger: 嵌顿≤4h无腹膜刺激征 ref: incarcerated-inguinal-hernia-manual-reduction/SKILL.md

  • name: inguinal-hernia-differential-diagnosis display: 腹股沟疝鉴别诊断 trigger: 腹股沟区可复性肿块 ref: inguinal-hernia-differential-diagnosis/SKILL.md

  • name: external-hernia-etiology-risk display: 腹外疝病因风险评估 trigger: 腹壁包块/术后切口异常/高腹压 ref: external-hernia-etiology-risk/SKILL.md

  • name: postoperative-wound-dehiscence-emergency display: 术后切口裂开应急处理 trigger: 术后切口突然松开/液体溢出 ref: postoperative-wound-dehiscence-emergency/SKILL.md

  • name: postoperative-fever-differential-diagnosis display: 术后发热鉴别诊断 trigger: 术后体温≥37℃ ref: postoperative-fever-differential-diagnosis/SKILL.md

  • name: secondary-peritonitis-etiology-and-pathogens display: 继发性腹膜炎病因与病原菌 trigger: 空腔脏器穿孔/外伤/术后污染 ref: secondary-peritonitis-etiology-and-pathogens/SKILL.md

  • name: primary-peritonitis-risk-assessment display: 原发性腹膜炎风险评估 trigger: 无腹腔原发病灶但出现腹膜炎 ref: primary-peritonitis-risk-assessment/SKILL.md

  • name: interintestinal-abscess-diagnosis display: 肠间脓肿诊断与治疗 trigger: 发热/腹痛/影像示肠壁间距增宽 ref: interintestinal-abscess-diagnosis/SKILL.md

  • name: intra-abdominal-abscess-drainage display: 腹腔脓肿分类诊断与引流 trigger: 持续发热/腹痛/腹腔占位 ref: intra-abdominal-abscess-drainage/SKILL.md

  • name: abdominal-compartment-syndrome-diagnosis-and-management display: 腹腔间隔室综合征诊断与管理 trigger: 腹内压≥20mmHg伴器官功能障碍 ref: abdominal-compartment-syndrome-diagnosis-and-management/SKILL.md

  • name: diagnostic-peritoneal-lavage-and-paracentesis display: 诊断性腹腔穿刺与灌洗 trigger: 闭合性腹部损伤需明确有无内脏损伤 ref: diagnostic-peritoneal-lavage-and-paracentesis/SKILL.md

  • name: short-bowel-syndrome-staged-management display: 短肠综合征分阶段管理 trigger: 广泛小肠切除术后 ref: short-bowel-syndrome-staged-management/SKILL.md

  • name: crohns-disease-surgical-management display: 克罗恩病外科管理 trigger: 克罗恩病并发症出现 ref: crohns-disease-surgical-management/SKILL.md

  • name: breast-abscess-incision-and-drainage display: 乳腺脓肿切开引流 trigger: 抗生素治疗无效的乳房脓肿 ref: breast-abscess-incision-and-drainage/SKILL.md

  • name: shang-shi-xing-yu-kong-qiang-zang-qi-sun-shang-jian-bie display: 实质性与空腔脏器损伤鉴别 trigger: 腹部创伤出现腹痛/休克/腹膜刺激征 ref: shang-shi-xing-yu-kong-qiang-zang-qi-sun-shang-jian-bie/SKILL.md

🫁 肝胆胰脾外科 (25)

  • name: extrahepatic-bile-duct-stone-diagnosis-strategy display: 肝外胆管结石诊断策略 trigger: 腹痛/寒战高热/黄疸疑似胆道梗阻 ref: extrahepatic-bile-duct-stone-diagnosis-strategy/SKILL.md

  • name: common-bile-duct-exploration-t-drainage display: 胆总管切开取石与T管引流 trigger: 胆总管结石满足手术条件 ref: common-bile-duct-exploration-t-drainage/SKILL.md

  • name: gallbladder-cancer-risk-assessment display: 胆囊癌风险评估 trigger: 胆囊结石/息肉/胆道疾病史 ref: gallbladder-cancer-risk-assessment/SKILL.md

  • name: gallbladder-cancer-staging-guided-surgery display: 胆囊癌分期指导手术 trigger: 明确AJCC分期且可耐受手术 ref: gallbladder-cancer-staging-guided-surgery/SKILL.md

  • name: cholesterol-gallstone-formation-mechanism display: 胆固醇结石形成机制 trigger: 分析胆石病风险/预防策略 ref: cholesterol-gallstone-formation-mechanism/SKILL.md

  • name: iatrogenic-bile-duct-injury-prevention display: 预防医源性胆管损伤 trigger: 胆道区域手术时 ref: iatrogenic-bile-duct-injury-prevention/SKILL.md

  • name: hepatic-echinococcosis-imaging-classification display: 肝棘球蚴病诊断与影像分型 trigger: 畜牧区居住史伴肝占位 ref: hepatic-echinococcosis-imaging-classification/SKILL.md

  • name: pulmonary-echinococcosis-diagnosis-and-surgery display: 肺棘球蚴病诊断与手术 trigger: 流行区/家畜接触史伴典型囊肿 ref: pulmonary-echinococcosis-diagnosis-and-surgery/SKILL.md

  • name: gan-ji-qiu-you-bing-bing-yin-yu-bing-li-te-zheng display: 肝棘球蚴病病因与病理特征 trigger: 来自畜牧区有犬羊接触史 ref: gan-ji-qiu-you-bing-bing-yin-yu-bing-li-te-zheng/SKILL.md

  • name: liver-trauma-nonoperative-interventional display: 肝外伤非手术与介入治疗 trigger: 血流动力学稳定/无腹膜炎 ref: liver-trauma-nonoperative-interventional/SKILL.md

  • name: gan-waishang-shoushu-zhixue-yu-tancha display: 肝外伤手术止血与探查 trigger: 肝外伤活动性出血血流动力学不稳定 ref: gan-waishang-shoushu-zhixue-yu-tancha/SKILL.md

  • name: gan-wai-shang-qing-chuang-feng-he-shu display: 肝外伤清创缝合术 trigger: 肝裂伤不深/出血不多/血流动力学稳定 ref: gan-wai-shang-qing-chuang-feng-he-shu/SKILL.md

  • name: aosc-emergency-management display: 急性梗阻性化脓性胆管炎急诊管理 trigger: Reynolds五联征/胆道压力>25cmH₂O ref: aosc-emergency-management/SKILL.md

  • name: acute-pancreatitis-diagnosis-triad display: 急性胰腺炎诊断三联征 trigger: 急性上腹痛+酶学+影像三项中两项 ref: acute-pancreatitis-diagnosis-triad/SKILL.md

  • name: acute-pancreatitis-severity-classification display: 急性胰腺炎严重程度分级 trigger: 确诊急性胰腺炎后 ref: acute-pancreatitis-severity-classification/SKILL.md

  • name: mods-in-acute-pancreatitis-clinical-correlation display: 急性胰腺炎MODS临床关联 trigger: 重症胰腺炎出现多器官功能障碍 ref: mods-in-acute-pancreatitis-clinical-correlation/SKILL.md

  • name: pancreatic-pseudocyst-management display: 胰腺假性囊肿管理 trigger: 提及胰腺假性囊肿/PPC ref: pancreatic-pseudocyst-management/SKILL.md

  • name: whipple-triad-diagnosis-for-insulinoma display: Whipple三联征诊断胰岛素瘤 trigger: 空腹/运动后低血糖症状 ref: whipple-triad-diagnosis-for-insulinoma/SKILL.md

  • name: insulinoma-localization-diagnosis display: 胰岛素瘤定位诊断 trigger: 定性诊断完成需制定手术方案 ref: insulinoma-localization-diagnosis/SKILL.md

  • name: roux-en-y-biliary-enteric-anastomosis display: Roux-en-Y胆肠吻合术 trigger: 胆总管远端梗阻无法解除 ref: roux-en-y-biliary-enteric-anastomosis/SKILL.md

  • name: congenital-bile-duct-dilation-classification display: 先天性胆管扩张症分型 trigger: 腹痛/黄疸/腹部肿块影像示胆管扩张 ref: congenital-bile-duct-dilation-classification/SKILL.md

  • name: biliary-atresia-diagnosis-and-differential display: 胆道闭锁诊断与鉴别 trigger: 新生儿持续性黄疸/陶土便 ref: biliary-atresia-diagnosis-and-differential/SKILL.md

  • name: psc-pharmacotherapy-guideline display: 原发性硬化性胆管炎药物治疗 trigger: 确诊PSC需启动药物治疗 ref: psc-pharmacotherapy-guideline/SKILL.md

  • name: non-surgical-treatment-of-ascariasis-cholangiopathy display: 胆道蛔虫病非手术治疗 trigger: 确诊胆道蛔虫病无严重并发症 ref: non-surgical-treatment-of-ascariasis-cholangiopathy/SKILL.md

  • name: ganshijiuqiaobing-shoushu-zhiliao-yu-shushi-xuanze display: 肝棘球蚴病手术术式选择 trigger: 肝包虫病囊肿巨大/出现并发症 ref: ganshijiuqiaobing-shoushu-zhiliao-yu-shushi-xuanze/SKILL.md

🩻 胃肠外科 (10)

  • name: early-gastric-cancer-endoscopic-treatment-indications display: 早期胃癌内镜治疗指征 trigger: 评估早期胃癌行EMR/ESD ref: early-gastric-cancer-endoscopic-treatment-indications/SKILL.md

  • name: gastric-cancer-tnm-staging-8th-edition display: 胃癌TNM第八版分期 trigger: 胃癌组织学确诊需完整分期 ref: gastric-cancer-tnm-staging-8th-edition/SKILL.md

  • name: gastric-cancer-lymph-node-metastasis-pathway-and-grouping display: 胃癌淋巴结转移途径与分组 trigger: 胃癌淋巴结转移评估/手术规划 ref: gastric-cancer-lymph-node-metastasis-pathway-and-grouping/SKILL.md

  • name: colorectal-cancer-tnm-staging-prognosis display: 结直肠癌TNM分期与预后 trigger: 结直肠癌确诊需分期评估 ref: colorectal-cancer-tnm-staging-prognosis/SKILL.md

  • name: gerd-diagnostic-criteria display: GERD诊断标准 trigger: 烧心/反流症状需明确诊断 ref: gerd-diagnostic-criteria/SKILL.md

  • name: gerd-surgical-indications-assessment display: GERD手术指征评估 trigger: 药物治疗失败/严重并发症 ref: gerd-surgical-indications-assessment/SKILL.md

  • name: heller-shou-shu-zhi-liao-ben-men-shi-chi-huan-zheng display: Heller手术治疗贲门失弛缓症 trigger: 确诊贲门失弛缓症非手术无效 ref: heller-shou-shu-zhi-liao-ben-men-shi-chi-huan-zheng/SKILL.md

  • name: duodenal-stasis-imaging-diagnosis display: 十二指肠淤滞症影像诊断 trigger: 餐后呕吐含胆汁胃内容物 ref: duodenal-stasis-imaging-diagnosis/SKILL.md

  • name: chu-kou-geng-zu-xing-bian-mi-wai-ke-chu-li display: 出口梗阻型便秘外科处理 trigger: 慢性便秘明确出口梗阻保守无效 ref: chu-kou-geng-zu-xing-bian-mi-wai-ke-chu-li/SKILL.md

  • name: zhi-chang-zhi-zhen-biao-zhun-cao-zuo display: 直肠指诊标准操作 trigger: 便血/排便习惯改变/肛门疼痛 ref: zhi-chang-zhi-zhen-biao-zhun-cao-zuo/SKILL.md

🫘 泌尿外科 (26)

  • name: renal-cell-carcinoma-surgical-selection-criteria display: 肾细胞癌手术方式选择 trigger: 肾癌TNM分期完成需决定术式 ref: renal-cell-carcinoma-surgical-selection-criteria/SKILL.md

  • name: renal-aml-diagnosis-and-treatment-threshold display: 肾AML诊断与治疗阈值 trigger: 肾脏良性肿瘤含脂肪成分 ref: renal-aml-diagnosis-and-treatment-threshold/SKILL.md

  • name: renal-cortical-abscess-diagnosis-and-treatment display: 肾皮质脓肿诊断与治疗 trigger: 畏寒发热/腰痛/肋脊角叩痛 ref: renal-cortical-abscess-diagnosis-and-treatment/SKILL.md

  • name: renal-injury-imaging-indications display: 肾损伤影像学检查指征 trigger: 腹部/背部创伤伴血尿 ref: renal-injury-imaging-indications/SKILL.md

  • name: cystourethroscopy-indications-contraindications display: 膀胱尿道镜检查评估 trigger: 需直接可视化检查尿道/膀胱 ref: cystourethroscopy-indications-contraindications/SKILL.md

  • name: urinary-stone-composition-and-imaging-characteristics display: 尿路结石成分与影像特征 trigger: 诊断为泌尿系统结石 ref: urinary-stone-composition-and-imaging-characteristics/SKILL.md

  • name: upper-urinary-tract-stone-diagnosis-workflow display: 上尿路结石诊断流程 trigger: 活动相关腰痛/血尿/肾绞痛 ref: upper-urinary-tract-stone-diagnosis-workflow/SKILL.md

  • name: urinary-stone-individualized-treatment display: 尿路结石个体化治疗 trigger: 完成结石诊断评估后 ref: urinary-stone-individualized-treatment/SKILL.md

  • name: shang-niao-lu-geng-zu-shen-nei-an-quan-fa-ji-zhi display: 上尿路梗阻肾内安全阀机制 trigger: 急性尿路梗阻肾盂压力升高 ref: shang-niao-lu-geng-zu-shen-nei-an-quan-fa-ji-zhi/SKILL.md

  • name: wu-chuang-zhen-duan-niao-lu-shang-pi-zhong-liu display: 无创诊断尿路上皮肿瘤 trigger: 中老年人无痛性血尿 ref: wu-chuang-zhen-duan-niao-lu-shang-pi-zhong-liu/SKILL.md

  • name: qian-niao-dao-shang-sun-zhen-duan display: 前尿道损伤诊断 trigger: 尿道滴血/排尿困难/会阴血肿 ref: qian-niao-dao-shang-sun-zhen-duan/SKILL.md

  • name: anterior-urethral-injury-classification-and-prognosis display: 前尿道损伤分类与预后 trigger: 骑跨伤/器械操作史尿道出血 ref: anterior-urethral-injury-classification-and-prognosis/SKILL.md

  • name: bladder-cancer-recurrence-and-metastasis-patterns display: 膀胱癌复发与转移模式 trigger: 非肌层浸润性膀胱癌术后 ref: bladder-cancer-recurrence-and-metastasis-patterns/SKILL.md

  • name: prostate-cancer-gleason-grading-and-risk-stratification display: 前列腺癌Gleason分级与风险分层 trigger: 穿刺确诊前列腺腺泡腺癌 ref: prostate-cancer-gleason-grading-and-risk-stratification/SKILL.md

  • name: acute-bacterial-cystitis-management display: 急性细菌性膀胱炎管理 trigger: 女性突发尿频尿急尿痛终末血尿 ref: acute-bacterial-cystitis-management/SKILL.md

  • name: urinary-tract-infection-bacterial-culture-diagnosis display: 尿路感染细菌培养诊断 trigger: 膀胱刺激症状需留取尿标本 ref: urinary-tract-infection-bacterial-culture-diagnosis/SKILL.md

  • name: gonococcal-vs-nongonococcal-urethritis-differentiation display: 淋菌性与非淋菌性尿道炎鉴别 trigger: 不洁性行为史尿道分泌物 ref: gonococcal-vs-nongonococcal-urethritis-differentiation/SKILL.md

  • name: luts-classification-and-clinical-interpretation display: 下尿路症状分类与解读 trigger: 排尿频率增加/尿急/排尿困难 ref: luts-classification-and-clinical-interpretation/SKILL.md

  • name: urinary-pain-classification-and-localization display: 泌尿系统疼痛分类与定位 trigger: 泌尿/男生殖系统区域疼痛 ref: urinary-pain-classification-and-localization/SKILL.md

  • name: anal-abscess-etiology-and-pathogenesis display: 肛周脓肿病因与发病机制 trigger: 肛门局部红肿热痛 ref: anal-abscess-etiology-and-pathogenesis/SKILL.md

  • name: perianal-abscess-classification-and-surgical-planning display: 肛周脓肿分类与手术规划 trigger: 临床确认肛周脓肿 ref: perianal-abscess-classification-and-surgical-planning/SKILL.md

  • name: perianal-abscess-surgical-management display: 肛周脓肿手术管理 trigger: 已形成肛周脓肿需手术 ref: perianal-abscess-surgical-management/SKILL.md

  • name: anal-lesion-clock-positioning display: 肛门病变时钟定位法 trigger: 肛门视诊/指诊发现病变 ref: anal-lesion-clock-positioning/SKILL.md

  • name: rectal-prolapse-classification-and-pathogenesis display: 直肠脱垂分类与发病机制 trigger: 排便时直肠脱出 ref: rectal-prolapse-classification-and-pathogenesis/SKILL.md

  • name: rectal-prolapse-surgical-strategy display: 直肠脱垂手术策略 trigger: 成人完全性直肠脱垂非手术无效 ref: rectal-prolapse-surgical-strategy/SKILL.md

  • name: penile-cancer-clinical-classification-and-metastasis-patterns display: 阴茎癌临床分型与转移特征 trigger: 确诊阴茎原发性上皮源性恶性肿瘤 ref: penile-cancer-clinical-classification-and-metastasis-patterns/SKILL.md

🩸 血管外科 (7)

  • name: deep-vein-thrombosis-clinical-classification display: 下肢深静脉血栓临床分型 trigger: 单侧肢体肿胀/疼痛/浅静脉扩张 ref: deep-vein-thrombosis-clinical-classification/SKILL.md

  • name: virchow-san-yao-su-ping-gu-shen-jing-mai-xue-shuan display: Virchow三要素DVT风险评估 trigger: 静脉壁损伤/制动/高凝状态 ref: virchow-san-yao-su-ping-gu-shen-jing-mai-xue-shuan/SKILL.md

  • name: yuan-fa-xing-xia-zhi-jing-mai-qu-zhang-bing-yin-ji-zhi display: 原发性下肢静脉曲张病因机制 trigger: 下肢浅静脉扩张迂曲无DVT史 ref: yuan-fa-xing-xia-zhi-jing-mai-qu-zhang-bing-yin-ji-zhi/SKILL.md

  • name: xia-zhi-jing-mai-hui-liu-ji-zhi display: 下肢静脉回流机制 trigger: 需理解下肢静脉回流生理 ref: xia-zhi-jing-mai-hui-liu-ji-zhi/SKILL.md

  • name: shen-jing-mai-xue-shuan-zhi-liao-ce-lve display: 深静脉血栓治疗策略 trigger: 确诊DVT无绝对禁忌 ref: shen-jing-mai-xue-shuan-zhi-liao-ce-lve/SKILL.md

  • name: peripheral-vascular-injury-repair display: 周围血管损伤修复 trigger: 确诊主干血管损伤可耐受手术 ref: peripheral-vascular-injury-repair/SKILL.md

  • name: ankle-brachial-index-diagnosis-for-arteriosclerosis-obliterans display: ABI诊断动脉硬化性闭塞症 trigger: 年龄>45岁肢体慢性缺血症状 ref: ankle-brachial-index-diagnosis-for-arteriosclerosis-obliterans/SKILL.md

🔥 烧伤与整形 (8)

  • name: burn-area-estimation display: 烧伤面积估算 trigger: 需快速评估烧伤严重程度/补液计算 ref: burn-area-estimation/SKILL.md

  • name: burn-wound-depth-classification display: 烧伤创面深度分类 trigger: 烧伤创面伤后72h内动态评估 ref: burn-wound-depth-classification/SKILL.md

  • name: adult-burn-shock-fluid-resuscitation display: 成人烧伤休克液体复苏 trigger: 成人Ⅱ/Ⅲ度烧伤面积≥10%TBSA伤后24h内 ref: adult-burn-shock-fluid-resuscitation/SKILL.md

  • name: burn-induced-acute-kidney-injury-prevention display: 烧伤致AKI预防 trigger: 严重烧伤未进展至终末期肾病 ref: burn-induced-acute-kidney-injury-prevention/SKILL.md

  • name: burn-stress-ulcer-identification-and-management display: 烧伤应激性溃疡识别与管理 trigger: 严重烧伤/休克出现不明原因腹痛/黑便 ref: burn-stress-ulcer-identification-and-management/SKILL.md

  • name: shen-du-shao-shang-chuang-mian-zhi-pi-ce-lue display: 深度烧伤创面植皮策略 trigger: 深Ⅱ度/Ⅲ度烧伤需制定植皮方案 ref: shen-du-shao-shang-chuang-mian-zhi-pi-ce-lue/SKILL.md

  • name: assess-skin-viability-in-hand-trauma display: 手部创伤皮肤活力评估 trigger: 手部创伤评估受损皮肤去留 ref: assess-skin-viability-in-hand-trauma/SKILL.md

  • name: determine-debridement-and-repair-timing-for-hand-trauma display: 手部创伤清创与修复时机 trigger: 急性开放手创伤 ref: determine-debridement-and-repair-timing-for-hand-trauma/SKILL.md

🧬 肿瘤外科与综合治疗 (16)

  • name: malignant-bone-tumor-limb-salvage-surgery-criteria display: 恶性骨肿瘤保肢手术标准 trigger: 骨肉瘤/尤因肉瘤需决定是否保肢 ref: malignant-bone-tumor-limb-salvage-surgery-criteria/SKILL.md

  • name: radiotherapy-sensitivity-assessment-for-malignant-bone-tumors display: 恶性骨肿瘤放疗敏感性评估 trigger: 考虑将放疗纳入骨肿瘤治疗方案 ref: radiotherapy-sensitivity-assessment-for-malignant-bone-tumors/SKILL.md

  • name: neoadjuvant-chemotherapy-response-evaluation-for-bone-tumors display: 骨肿瘤新辅助化疗反应评估 trigger: 骨肉瘤/尤因肉瘤标准化疗后 ref: neoadjuvant-chemotherapy-response-evaluation-for-bone-tumors/SKILL.md

  • name: tumor-surgical-principles display: 肿瘤手术原则 trigger: 可切除实体恶性肿瘤根治手术 ref: tumor-surgical-principles/SKILL.md

  • name: malignant-tumor-surgical-resection-with-adjuvant-radiotherapy display: 恶性肿瘤手术联合辅助放疗 trigger: 肿瘤弥漫性切除边缘残留 ref: malignant-tumor-surgical-resection-with-adjuvant-radiotherapy/SKILL.md

  • name: limb-salvage-tumor-resection-margins display: 保肢手术切除边界 trigger: 确诊恶性骨肿瘤决定保肢 ref: limb-salvage-tumor-resection-margins/SKILL.md

  • name: cancer-three-tier-prevention-system display: 癌症三级预防体系 trigger: 制定/解释癌症预防策略 ref: cancer-three-tier-prevention-system/SKILL.md

  • name: breast-cancer-pathological-classification display: 乳腺癌病理分类 trigger: 病理报告示乳腺上皮异常增生 ref: breast-cancer-pathological-classification/SKILL.md

  • name: breast-cancer-molecular-subtyping-and-treatment-strategy display: 乳腺癌分子分型与治疗策略 trigger: 确诊浸润性乳腺癌完成四项标志物检测 ref: breast-cancer-molecular-subtyping-and-treatment-strategy/SKILL.md

  • name: breast-cancer-tnm-staging display: 乳腺癌TNM分期 trigger: 完成影像和病理检查明确T/N/M ref: breast-cancer-tnm-staging/SKILL.md

  • name: lung-cancer-surgical-indications-and-contraindications display: 肺癌手术适应证与禁忌证 trigger: NSCLC I-II期或筛选后III期 ref: lung-cancer-surgical-indications-and-contraindications/SKILL.md

  • name: lung-cancer-tnm-staging-8th-edition display: 肺癌TNM第八版分期 trigger: 肺癌确诊需制定治疗策略 ref: lung-cancer-tnm-staging-8th-edition/SKILL.md

  • name: fei-zhuan-yi-liu-shou-shu-zhi-zheng-yu-yu-hou-ping-gu display: 肺转移瘤手术指征与预后 trigger: 肺转移能否手术决策 ref: fei-zhuan-yi-liu-shou-shu-zhi-zheng-yu-yu-hou-ping-gu/SKILL.md

  • name: ipfi-surgical-indications-and-perioperative-management display: 侵袭性肺真菌感染手术与围术期管理 trigger: IPFI抗真菌治疗无效或病情进展 ref: ipfi-surgical-indications-and-perioperative-management/SKILL.md

  • name: radiotherapy-surgery-comprehensive-treatment display: 放疗-手术综合治疗规范 trigger: 肿瘤局部进展高复发风险 ref: radiotherapy-surgery-comprehensive-treatment/SKILL.md

  • name: radiotherapy-indication-classification display: 放疗适应症分类 trigger: 确诊恶性肿瘤属射线敏感类型 ref: radiotherapy-indication-classification/SKILL.md

📋 围手术期管理 (20)

  • name: preoperative-pathophysiological-optimization display: 术前病理生理状态优化 trigger: 拟行择期手术存在合并症 ref: preoperative-pathophysiological-optimization/SKILL.md

  • name: perioperative-prophylactic-antibiotics display: 围手术期预防性抗生素使用 trigger: 患者接受外科手术需评估抗感染策略 ref: perioperative-prophylactic-antibiotics/SKILL.md

  • name: antibiotic-regimen-design-principles display: 抗菌治疗方案设计原则 trigger: 需为感染性疾病启动抗菌治疗 ref: antibiotic-regimen-design-principles/SKILL.md

  • name: antibiotic-dosing-in-special-populations display: 特殊人群抗生素剂量调整 trigger: 特殊人群需使用抗菌药物 ref: antibiotic-dosing-in-special-populations/SKILL.md

  • name: perioperative-blood-glucose-management-for-diabetic-patients display: 糖尿病患者围术期血糖管理 trigger: 糖尿病患者需手术 ref: perioperative-blood-glucose-management-for-diabetic-patients/SKILL.md

  • name: surgical-wound-infection-management display: 手术切口感染管理 trigger: 术后切口局部炎症或感染 ref: surgical-wound-infection-management/SKILL.md

  • name: surgical-stress-energy-requirement-calculation display: 外科应激能量需求计算 trigger: 需为外科患者制定营养方案 ref: surgical-stress-energy-requirement-calculation/SKILL.md

  • name: parenteral-nutrition-macronutrient-ratio display: 肠外营养宏量营养素配比 trigger: 无法经胃肠道摄食需启动PN ref: parenteral-nutrition-macronutrient-ratio/SKILL.md

  • name: nitrogen-balance-calculation-and-clinical-interpretation display: 氮平衡计算与临床解读 trigger: 需评估蛋白质代谢状态 ref: nitrogen-balance-calculation-and-clinical-interpretation/SKILL.md

  • name: laparoscopic-surgery-basic-procedures display: 腹腔镜手术基本操作 trigger: 需行腹盆腔手术符合微创指征 ref: laparoscopic-surgery-basic-procedures/SKILL.md

  • name: high-pressure-steam-sterilization-procedure display: 高压蒸汽灭菌操作规范 trigger: 需确保医疗物品无菌状态 ref: high-pressure-steam-sterilization-procedure/SKILL.md

  • name: autologous-blood-transfusion-selection display: 自体输血选择 trigger: 择期手术/稀有血型/预计大出血 ref: autologous-blood-transfusion-selection/SKILL.md

  • name: xue-jiang-dan-bai-zhi-biao-xuan-ze display: 血浆蛋白指标选择 trigger: 需评估住院病人营养状态 ref: xue-jiang-dan-bai-zhi-biao-xuan-ze/SKILL.md

  • name: shu-xue-bu-liang-fan-ying-chu-li display: 输血不良反应处理 trigger: 输血过程中或后出现溶血反应 ref: shu-xue-bu-liang-fan-ying-chu-li/SKILL.md

  • name: hyperacute-rejection-prevention display: 超急性排斥反应识别与预防 trigger: 器官移植后数分钟至数小时移植物肿胀 ref: hyperacute-rejection-prevention/SKILL.md

  • name: organ-cold-preservation-time-limit display: 器官冷保存时限与灌洗液选择 trigger: 器官切取完成准备运输 ref: organ-cold-preservation-time-limit/SKILL.md

  • name: acute-rejection-diagnosis-rescue display: 急性排斥反应诊断与挽救治疗 trigger: 移植受体不明原因发热/移植区胀痛 ref: acute-rejection-diagnosis-rescue/SKILL.md

  • name: jing-lin-ba-jie-jie-he-ju-bu-zhi-liao display: 颈淋巴结结核局部治疗 trigger: 确诊颈淋巴结结核已启动抗结核治疗 ref: jing-lin-ba-jie-jie-he-ju-bu-zhi-liao/SKILL.md

  • name: postoperative-urinary-retention display: 术后尿潴留评估与处理 trigger: 老年/盆腔会阴手术/蛛网膜下腔麻醉后排尿异常 ref: postoperative-urinary-retention/SKILL.md

  • name: postoperative-intra-abdominal-infection-management display: 术后腹腔感染诊断与处理 trigger: 术后患者发热/腹痛/白细胞增多 ref: postoperative-intra-abdominal-infection-management/SKILL.md

💉 麻醉与疼痛 (11)

  • name: laryngeal-mask-airway-indications-and-contraindications display: 喉罩气道适应证与禁忌证 trigger: 需快速建立气道张口度≥2cm ref: laryngeal-mask-airway-indications-and-contraindications/SKILL.md

  • name: endotracheal-intubation-indications display: 气管内插管适应症与位置确认 trigger: 全麻/气道梗阻/心肺复苏 ref: endotracheal-intubation-indications/SKILL.md

  • name: subarachnoid-anesthesia-level-adjustment display: 蛛网膜下腔麻醉平面调节 trigger: 腰麻后需根据手术部位调节阻滞范围 ref: subarachnoid-anesthesia-level-adjustment/SKILL.md

  • name: subarachnoid-anesthesia-local-anesthetic-dosing display: 蛛网膜下腔麻醉局麻药剂量 trigger: 需行2-3h下腹部/盆腔/下肢手术 ref: subarachnoid-anesthesia-local-anesthetic-dosing/SKILL.md

  • name: topical-anesthesia-application display: 表面麻醉应用 trigger: 操作部位为可穿透黏膜或皮肤 ref: topical-anesthesia-application/SKILL.md

  • name: local-infiltration-and-regional-block-anesthesia display: 局部浸润与区域阻滞麻醉 trigger: 手术区域为非实质脏器 ref: local-infiltration-and-regional-block-anesthesia/SKILL.md

  • name: inhaled-anesthetic-selection-and-application display: 吸入麻醉药选择与应用 trigger: 计划使用吸入麻醉具备麻醉机 ref: inhaled-anesthetic-selection-and-application/SKILL.md

  • name: anesthesia-reflux-aspiration-prevention-and-management display: 麻醉反流误吸预防与管理 trigger: 全麻存在饱胃/胃排空障碍 ref: anesthesia-reflux-aspiration-prevention-and-management/SKILL.md

  • name: allis-reduction-for-posterior-hip-dislocation display: Allis法复位髋关节后脱位 trigger: 髋关节后脱位Ⅰ型伤后48h内 ref: allis-reduction-for-posterior-hip-dislocation/SKILL.md

  • name: rib-fracture-pain-management display: 肋骨骨折疼痛管理 trigger: 临床确认肋骨骨折 ref: rib-fracture-pain-management/SKILL.md

  • name: pre-anesthesia-gastrointestinal-preparation display: 麻醉前胃肠道准备 trigger: 全麻/椎管内麻醉择期手术需禁食方案 ref: pre-anesthesia-gastrointestinal-preparation/SKILL.md

⚖️ 内分泌与代谢 (6)

  • name: secondary-hyperparathyroidism-surgical-indication display: 继发性甲旁亢手术指征 trigger: PTH持续升高内科治疗无效 ref: secondary-hyperparathyroidism-surgical-indication/SKILL.md

  • name: laryngeal-nerve-injury-classification-and-prognosis display: 喉返神经损伤分类与预后 trigger: 甲状腺/头颈外科术后声音嘶哑 ref: laryngeal-nerve-injury-classification-and-prognosis/SKILL.md

  • name: hypercalcemia-calcium-lowering-therapy display: 高钙血症降钙治疗 trigger: 血钙>2.75mmol/L伴神经/心脏症状 ref: hypercalcemia-calcium-lowering-therapy/SKILL.md

  • name: hypotonic-dehydration-classification display: 低渗性脱水分类诊断 trigger: 大量含钠体液丢失伴乏力/头晕 ref: hypotonic-dehydration-classification/SKILL.md

  • name: hypotonic-dehydration-sodium-replacement display: 低渗性脱水补钠计算与输液 trigger: 确诊低渗性脱水血流动力学稳定 ref: hypotonic-dehydration-sodium-replacement/SKILL.md

  • name: hyperosmolar-dehydration-fluid-resuscitation display: 高渗性脱水液体复苏 trigger: 血清Na>150mmol/L血浆渗透压>310mOsm ref: hyperosmolar-dehydration-fluid-resuscitation/SKILL.md

🦠 感染与免疫 (7)

  • name: jie-he-gan-ran-shai-cha-jie-du display: 结核感染筛查解读 trigger: TST/IGRA检测后需区分自然感染与卡介苗反应 ref: jie-he-gan-ran-shai-cha-jie-du/SKILL.md

  • name: bone-and-joint-tuberculosis-diagnosis display: 骨与关节结核诊断 trigger: 局部疼痛/寒性脓肿/午后低热 ref: bone-and-joint-tuberculosis-diagnosis/SKILL.md

  • name: bone-joint-tuberculosis-staging display: 骨与关节结核病理分期 trigger: 临床怀疑或确诊骨与关节结核 ref: bone-joint-tuberculosis-staging/SKILL.md

  • name: bone-joint-tuberculosis-drug-treatment display: 骨与关节结核药物治疗 trigger: 确诊或高度疑似骨与关节结核 ref: bone-joint-tuberculosis-drug-treatment/SKILL.md

  • name: facial-danger-triangle-infection-cavernous-sinus-thrombosis-risk-assessment display: 面部危险三角感染评估 trigger: 鼻/上唇感染有挤压史 ref: facial-danger-triangle-infection-cavernous-sinus-thrombosis-risk-assessment/SKILL.md

  • name: sepsis-and-septic-shock-diagnosis display: 脓毒症与脓毒症休克诊断 trigger: 存在感染且qSOFA≥2分 ref: sepsis-and-septic-shock-diagnosis/SKILL.md

  • name: pdp-h-headache-prevention-and-treatment display: 腰麻后头痛预防与治疗 trigger: 腰麻后2-7天体位性头痛 ref: pdp-h-headache-prevention-and-treatment/SKILL.md

📡 影像与介入 (9)

  • name: x-ray-contrast-imaging-classification-and-application display: X线造影分类与应用 trigger: 需对腔道/血管系统影像学评估 ref: x-ray-contrast-imaging-classification-and-application/SKILL.md

  • name: interventional-radiology-core-techniques-and-clinical-applications display: 介入放射学核心技术 trigger: 疾病适合微创介入影像引导可行 ref: interventional-radiology-core-techniques-and-clinical-applications/SKILL.md

  • name: digestive-endoscopy-techniques-selection-and-application display: 消化内镜技术选择与应用 trigger: 消化道局限性病变需内镜诊疗 ref: digestive-endoscopy-techniques-selection-and-application/SKILL.md

  • name: kai-fang-xing-qi-xiong-jiu-zhi display: 开放性气胸救治 trigger: 吸吮性伤口 ref: kai-fang-xing-qi-xiong-jiu-zhi/SKILL.md

  • name: progressive-hemothorax-diagnosis display: 进行性血胸诊断 trigger: 胸部创伤后血流动力学不稳定 ref: progressive-hemothorax-diagnosis/SKILL.md

  • name: pulmonary-resection-indications-contraindications-for-tb display: 肺结核肺切除术指征 trigger: 肺结核结构性病变抗结核无效 ref: pulmonary-resection-indications-contraindications-for-tb/SKILL.md

  • name: men-jing-mai-gao-ya-ce-zhi-xun-huan-ping-gu display: 门静脉高压侧支循环评估 trigger: 门静脉高压伴上消化道出血 ref: men-jing-mai-gao-ya-ce-zhi-xun-huan-ping-gu/SKILL.md

  • name: portal-hypertension-diagnosis-thresholds display: 门静脉高压诊断阈值 trigger: 需评估肝硬化患者门静脉高压 ref: portal-hypertension-diagnosis-thresholds/SKILL.md

  • name: portal-hypertension-surgery-tips display: 门静脉高压手术与TIPS决策 trigger: 食管胃底静脉曲张出血药物/内镜无效 ref: portal-hypertension-surgery-tips/SKILL.md

🏋️ 康复与功能评估 (12)

  • name: fracture-rehabilitation-three-phases display: 骨折康复三阶段治疗 trigger: 四肢骨折后特定时间窗 ref: fracture-rehabilitation-three-phases/SKILL.md

  • name: fracture-healing-stages-and-clinical-union-criteria display: 骨折愈合分期与临床愈合标准 trigger: 询问骨折愈合时间进程 ref: fracture-healing-stages-and-clinical-union-criteria/SKILL.md

  • name: shou-bu-xiu-xi-wei-yu-gong-neng-wei-ping-gu display: 手部休息位与功能位评估 trigger: 肌腱损伤筛查/术后固定位置决策 ref: shou-bu-xiu-xi-wei-yu-gong-neng-wei-ping-gu/SKILL.md

  • name: stenosing-tenosynovitis-diagnosis display: 狭窄性腱鞘炎诊断与处理 trigger: 长期重复手部活动伴晨僵/弹响 ref: stenosing-tenosynovitis-diagnosis/SKILL.md

  • name: shi-gao-beng-dai-gu-ding-zhi-zheng-yu-zhu-yi-shi-xiang display: 石膏绷带固定指征与注意事项 trigger: 符合特定临床指征无禁忌证 ref: shi-gao-beng-dai-gu-ding-zhi-zheng-yu-zhu-yi-shi-xiang/SKILL.md

  • name: xia-zhi-shen-jing-zu-cheng-yu-fen-bu display: 下肢神经组成与分布 trigger: 小腿内侧麻木/足下垂/钩状足 ref: xia-zhi-shen-jing-zu-cheng-yu-fen-bu/SKILL.md

  • name: meniscus-tear-treatment-by-vascular-zone display: 半月板撕裂血供分区治疗 trigger: 确诊半月板撕裂明确血供分区 ref: meniscus-tear-treatment-by-vascular-zone/SKILL.md

  • name: zhang-yingze-hou-zhiyong-tibiofibular-fracture-pattern display: 张英泽-侯志勇胫腓骨骨折模式 trigger: 胫骨下1/3螺旋形骨折 ref: zhang-yingze-hou-zhiyong-tibiofibular-fracture-pattern/SKILL.md

  • name: tibiofibular-shaft-fracture-classification-and-treatment display: 胫腓骨干骨折分类与治疗 trigger: 确诊完成X线检查 ref: tibiofibular-shaft-fracture-classification-and-treatment/SKILL.md

  • name: forearm-dual-fracture-reduction-priority display: 前臂双骨折复位优先级 trigger: 非手术治疗手法复位 ref: forearm-dual-fracture-reduction-priority/SKILL.md

  • name: stress-fracture-recognition display: 应力性骨折识别 trigger: 渐进性骨痛活动量增加X线阴性 ref: stress-fracture-recognition/SKILL.md

  • name: flexible-flatfoot-nonsurgical-management display: 柔韧性平足非手术管理 trigger: 负重时足弓塌陷伴足部不适 ref: flexible-flatfoot-nonsurgical-management/SKILL.md

🦿 风湿与脊柱疾病 (5)

  • name: ankylosing-spondylitis-diagnostic-criteria display: 强直性脊柱炎诊断标准 trigger: 需判断是否符合修订纽约标准 ref: ankylosing-spondylitis-diagnostic-criteria/SKILL.md

  • name: ankylosing-spondylitis-imaging-staging display: 强直性脊柱炎影像分期 trigger: 临床怀疑AS需影像评估 ref: ankylosing-spondylitis-imaging-staging/SKILL.md

  • name: ankylosing-spondylitis-vs-rheumatoid-arthritis-differentiation display: 强直性脊柱炎与类风湿关节炎鉴别 trigger: 慢性脊柱炎症需排除RA ref: ankylosing-spondylitis-vs-rheumatoid-arthritis-differentiation/SKILL.md

  • name: cervical-myelopathy-surgical-indications display: 脊髓型颈椎病手术指征 trigger: 明显脊髓压迫症状 ref: cervical-myelopathy-surgical-indications/SKILL.md

  • name: lumbar-spinal-stenosis-diagnosis-and-typing display: 腰椎管狭窄症诊断与分型 trigger: 中老年行走后下肢痛麻休息缓解 ref: lumbar-spinal-stenosis-diagnosis-and-typing/SKILL.md

🔧 其他专科技能 (10)

  • name: qiang-xin-yao-shi-yong-zhi-zheng display: 强心药使用指征 trigger: 充分液体复苏后动脉压仍低 ref: qiang-xin-yao-shi-yong-zhi-zheng/SKILL.md

  • name: yong-qie-kai-yin-liu-caozuo display: 痈切开引流操作 trigger: 痈出现脓点/皮肤紫褐色 ref: yong-qie-kai-yin-liu-caozuo/SKILL.md

  • name: hu-nong-xing-zhi-tou-yan-qie-kai-yin-liu display: 脓性指头炎切开引流 trigger: 剧烈跳痛/肿胀/皮肤红转白 ref: hu-nong-xing-zhi-tou-yan-qie-kai-yin-liu/SKILL.md

  • name: zuzhi-guanzhu-yu-yanghe-zhuangtai-jiance display: 组织灌注与氧合状态监测 trigger: 外科重症/休克状态 ref: zuzhi-guanzhu-yu-yanghe-zhuangtai-jiance/SKILL.md

  • name: cheng-ren-chu-bu-xin-fei-fu-su display: 成人初步心肺复苏 trigger: 成人无反应无呼吸 ref: cheng-ren-chu-bu-xin-fei-fu-su/SKILL.md

  • name: ards-diagnosis-berlin-definition display: ARDS柏林定义诊断 trigger: ICU患者急性呼吸困难/低氧血症 ref: ards-diagnosis-berlin-definition/SKILL.md

  • name: oliguric-phase-fluid-management-in-aki display: AKI少尿期液体管理 trigger: 纠正液体缺失后仍少尿 ref: oliguric-phase-fluid-management-in-aki/SKILL.md

  • name: aki-diagnosis-and-urine-differentiation display: AKI诊断与尿液鉴别 trigger: 少尿/肌酐快速升高 ref: aki-diagnosis-and-urine-differentiation/SKILL.md

  • name: xue-niao-hun-zhuo-niao-jian-bie-zhen-duan display: 血尿与混浊尿鉴别诊断 trigger: 尿液红色/混浊/含气体异常外观 ref: xue-niao-hun-zhuo-niao-jian-bie-zhen-duan/SKILL.md

  • name: tnm-tumor-staging display: TNM肿瘤分期系统 trigger: 需基于影像/病理对实体瘤分期 ref: tnm-tumor-staging/SKILL.md

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