精神科住院病人猝死情况分析

Sudden death in hospitalized psychiatric patients

目的探讨精神科住院患者发生碎死的临床特征．为降低精神病住院患者猝死发生率提供依据。方法对近15年内汕头市第四人民医院住院期间发生猝死病例的临床资料进行回顾性凋查分析。结果15年内猝死发生率为0．2％。男性和新入院者较多。秋冬季．4：00～8：00时间段为猝死高峰期。93．25％伴有躯体疾病。服用氯氮平、氯丙嗪、奋乃静、氟哌啶醇者在猝死病例中占较高比例．且联合用药者较多。结论精神科猝死病例中伴有躯体疾病者较多．对此类患者应谨慎应用抗精神病药物。

Objectives To explore the clinical characteristics of sudden death in psychiatric in-patients in order to provide bases for reducing incidence of sudden death, Methods Clinical data of sudden death in psychiatric in-patients over past 25 years in The Fourth People＇s Hospital of Shantou were reviewed, Results Over past 15 years incidence of sudden death was 0.2%. Most of them were male and new-admitted. In autumn and winter, 4.00-8：00am were the peak time of sudden death, 93,25% of them were associated with physical diseases. Incidence of sudden death was higher in patients took clozapine, chlorpromazine, trilafon or haloperidol, patients who received dug combination were more, Conclusion Most of the sudden death patients in psychiatric Dept. are associated with physical diseases, so antipsychotrics should be used carefully.