脑出血与脑梗塞所致精神障碍的临床分析

A clinical analysis of mental disorders induced byrain haemorrhage and infarction.

１２０例经ＣＴ证实的脑出血与脑梗塞息者中，５７．５０％出现精神障碍。精神障碍发生率依次为意识障碍，智能减低，神经症详综合征，人格改变，精神病状态及遗忘综合征。老年组意识障碍和智能减低发生率高，非老年组神经症样综合征发生率高。精神病状态以皮层病变比例为高，其他精神障碍以皮层下病变比例为高。各类精神障碍常可同时出现。

AbstractOut of one hundred and twenty patients with brain hamemorrhage and infarction demonstrated on CT scan,57.50% of them exhibited mental disturbance in the following decreasing order of ftequency:disturbance of consciousness,intellectual impairment, neurotic syndrome, personality change,psychot-ic and amnesic syndrome,Disturbance of consciousness and intellectual impairment were more common in older patients, whereas neurotic syndromes were more frequent in younger patients, Psychotic and non一psychotic patients exhibited more pathological changes in cortical and subcortical areas respective-ly,Mixed psychiatric manifestations were common.