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脑器质性精神障碍患者的CT表现(附62例异常脑CT分析) 被引量:2

CT manifestations of patients with organic mental disorders
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摘要 目的:探讨脑CT扫描对脑器质性精神障碍病因的检查和评价。方法:分析1032例精神障碍患者脑CT表现。结果:62例有异常脑CT表现,阳性率为6.0%,涉及9类12种疾病。脑血管疾病、先天性畸形(透明隔囊肿)、脑肿瘤与囊肿、Alzheimer病性脑萎缩、脑白质病分别列前四位。精神障碍病程≤2年与>2年患病人数有显著差异性(P<0.01)。结论:脑CT检查对脑器质性精神障碍的病因诊断至关重要,对初发精神障碍患者脑CT扫描应作为排除脑器质性病变的首选方法。 Objective:To study and evaluate the value of CT in the diagnosis of the etiologic factors in patients with organic mental disorders.Methods:All1032cases diagnosed as mental disorders are enrolled.All these cases have been exam-ined by CT of the head.We group these patients according to their abnormalities on CT findings.Results:In1032cases,62patients (0.6%)have abnormal CT images.They were showed by12diseases of 9kinds.Among these abnormalities,cere-brovascular disorder rank the first place and followed by congenital malformation(Septum lucidum),brain tumur and cysts,brain atrophy of the Alzheimer disease,leuko-encephalopathy.There are significantly difference in the number of cases between whose history is no less than2years and more than2years (P<0.01).Conclusion:CT scan of the head is very important in the diagnosis of the organic mental disorders,and it is first choice of examination in telling whether an incipient case is func-tional or organic.
出处 《中国临床医学影像杂志》 CAS 2002年第5期317-319,共3页 Journal of China Clinic Medical Imaging
关键词 脑器质性精神障碍 CT表现 认知障碍 诊断 delirium,dementia,amnestic,cognitive disorders tomography,X-ray computed
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参考文献5

  • 1吴恩惠 张云亭.头部CT诊断学[M].北京:人民卫生出版社,1996.186-187.
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二级参考文献6

  • 1郭起浩,临床精神医学杂志,1996年,6卷,45页
  • 2郭起浩,中国临床心理学杂志,1994年,2期,155页
  • 3张明园,精神科评定量表手册,1993年,192页
  • 4颜文伟,上海精神医学杂志,1992年,新4卷,187页
  • 5张明园,中国神经精神疾病杂志,1992年,18卷,83页
  • 6吴恩惠,头部CT诊断学,1985年,40页

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