[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fNHEHxiYXUrlCbCvuizs12aiJCZHPnMJgrWKFmBhGqaU":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":64},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":62},1317,"黄瘤病"," 黄瘤病防治指南及治疗方法\n"," 黄瘤病, 黄瘤病症状, 黄瘤病治疗, 黄瘤病预防, 黄瘤病饮食, 黄瘤病护理\n"," 了解黄瘤病的详细信息，包括其症状、预防方法、治疗方案及日常护理。全面的黄瘤病防治指南帮助您有效应对该疾病。",[18,23,28,33,38,43,48,53,58],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},122519,"概述","\u003Cp>　　黄瘤病是由于含有脂质的组织细胞和巨噬细胞局限性聚集于皮肤或肌腱，形成黄色斑片、丘疹或结节的一种皮肤病，常伴有脂质代谢紊乱。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},122520,"病因","\u003Cp>　　正常情况下大部分血脂与血浆蛋白结合形成血浆脂蛋白而转运全身，当血脂浓度高于正常值上限时称为高脂血症，当血浆脂蛋白浓度高于正常值上限时称为高脂蛋白血症。当脂蛋白代谢发生障碍或含量增高或结构异常时，可导致脂蛋白在组织中沉积，如沉积于皮肤或肌腱中则被称为黄瘤病。\u003C/p>\u003Cp>　　本组疾病可分为原发性黄瘤病和继发性黄瘤病，前者又可分为家族性和非家族性两类，家族性者常有不同程度的血脂代谢障碍及系统表现，非家族性者常为散发，一般无血脂代谢障碍及系统表现。继发性黄瘤病指由其它疾病引起血脂代谢障碍和血脂增高所致的黄瘤病，如糖尿病、骨髓瘤和淋巴瘤等。\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},122521,"症状","\u003Cp>　　常见症状：皮肤瘙痒、皮肤新生皮疹、皮炎样皮损\u003C/p>\u003Cp>　　根据发病部位和形态特点可分为以下类型：\u003C/p>\u003Cp>　　1.结节性黄瘤(xanthomatuberosum)可发生\u003C/p>\u003Cp>　　结节性黄瘤于任何年龄。好发于四肢伸侧和易摩擦部位。皮损为黄色或深褐色扁平或隆起的圆形坚实结节，直径可达5cm，单发或多发，可融合，后期皮损可纤维化而变得更加坚硬。发生于跟腱或指(趾)肌腱处者称为腱黄瘤。患者多合并胆固醇和(或)三酰甘油代谢异常、高脂蛋白血症，可伴发动脉粥样硬化性心血管疾病。\u003C/p>\u003Cp>　　2.扁平黄瘤(planexanthoma)皮损为稍\u003C/p>\u003Cp>　　扁平黄瘤病高起的扁平黄色斑块，淡黄色至淡棕色，局限或泛发，直径可达5cm。发生于上眼睑内眦处称为睑黄瘤;发生于手掌者称为掌纹黄瘤;泛发于躯干、颈部和上臂等处者称为泛发性扁平黄瘤;发生于间擦部位者称为间擦性黄瘤。\u003C/p>\u003Cp>　　3.发疹性黄瘤(eruptivexanthom\u003C/p>\u003Cp>　　发疹性黄瘤a)多累及高乳糜微粒血症者的肢体伸侧和臀部等处。皮损为直径1～4mm大小的橘黄或棕黄色柔软丘疹，迅速分批或骤然发生，急性期炎症明显，皮损周围有红晕;可有瘙痒或压痛。数周后皮损自行消退。\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},122522,"检查","\u003Cp>　　检查项目：过敏原监测、血常规\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},122523,"鉴别","\u003Cp>　　根据典型皮损结合组织病理检查，一般诊断不难，同时应注意可能存在的系统性脂质代谢紊乱，可进一步进行血脂检查。本病应与各种X型组织细胞增生症及非X型组织细胞增生症、朗格汉斯细胞增生症、幼年黄色肉芽肿、进行性结节性组织细胞瘤等进行鉴别。\u003C/p>",4,{"id":44,"classification":45,"description":46,"sort":47,"diseaseId":12},122524,"并发症","\u003Cp>　　黄瘤病的并发症主要有原发性组织细胞增生性疾病、朗格罕组织细胞增生症、遗传性酶缺陷所致的葡萄糖脑苷脂病、鞘磷脂病等都会病发黄瘤病。\u003C/p>",5,{"id":49,"classification":50,"description":51,"sort":52,"diseaseId":12},122525,"预防","\u003Cp>　　保持良好的饮食习惯，注意饮食调节，不过量摄入高脂、高糖、高胆固醇食物。\u003C/p>",6,{"id":54,"classification":55,"description":56,"sort":57,"diseaseId":12},122526,"治疗","\u003Cp>　　1.饮食治疗控制饮食是治疗本病的基本措施。对合并高脂蛋白血症者，根据不同类型，分别给予低脂、低糖、低胆固醇饮食。\u003C/p>\u003Cp>　　2.药物治疗给降脂药。氯贝丁酯(安妥明)2g/d，主要降低甘油三酯。考来烯胺(胆胺)12～24g/d，主要降低胆固醇。烟酸3～4.5g/d，同时降低甘油三酯和胆固醇。亦可服用活血化瘀中药。\u003C/p>\u003Cp>　　3.局部治疗对局限性数目较少的损害，可用液氮冷冻疗法、电离子手术、激光等物理治疗。大的损害可行外科手术切除。\u003C/p>",7,{"id":59,"classification":60,"description":51,"sort":61,"diseaseId":12},122527,"饮食",8,[63],"普通外科",true]