脑外伤后精神障碍

PSYCHONOSEMA AFTER BRAIN TRAUMA (20 CASES ANALYSIS)

本文分析了20例脑外伤后精神障碍的住院患者，病人以男性为主，20岁至40岁。16例病人（80％）体检有神经系统阳性体征，除2例脑震荡患者外，余18例病人（90％）均在脑外伤急性期后病情趋于平稳时才出现精神障碍之症状。本文对外伤性精神障碍作了分类讨论，认为外伤后人极性格改变占首位，其次为外伤性痴呆症状群。脑震荡患者也可出现精神障碍，但远不及脑挫裂伤重，教外伤性精神障碍的轻重与外伤程度成正比。另外，本文还概括分析了外伤性精神障碍的临床特点，为精神障碍的诊断和鉴别诊断提供了依据。

20 cases of psychonosema caused by craniocerebral trauma are presented. Most of them were male,Their age ranged from 20- 40 years old. Among them, 16 cases were neurological dificit (account for 80% ). In 18 cases(90% ), the symptoms occured after their clinic condition had totolly improved. This article analysed the clinical manfestation. The result showed that psychopathia was the most common one,followed by dementia syndrome. The extent of the symptoms had a positive correlation with the degree of trauma. The principles of diagnosis and differential diagnosis were also dis-cussed.