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患者 某, 50 岁 ,因家人去世, 主诉入睡困难,难以维持睡眠,睡 眠 质量差。这种情况已经持续了三个月,并出现头晕目眩、心悸气短、体倦乏力、急躁易 怒 、注意力不集中、健忘等症状,工作效率明显下降。 此患者失眠的主要原因是 ?
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