精神科住院病人猝死原因及预防

目的探讨精神科住院病人猝死的原因,寻求预防措施。方法对35例精神科住院猝死病人的临床资料进行分析。结果住院病人猝死发生率为0.74%,占总死亡人数的43.9%。其中年龄在60岁以上的病人10例,占28.6%,住院在3年以上的病人11例,占31.4%,精神药物引起的猝死25例,占71.4%,内含9例病人用药前躯体状况较差,2例病人猝死与精神疾病本身有关,占5.71%。结论猝死可发生于各种年龄段,与住院时间长短无关,主要与精神药物、躯体状况及精神疾病本身有关。采取行之有效的预防措施可以减少猝死的发生。

Objective To probe into the causes for sudden death for mental patients in hospital and seek to find prevention measures. Methods The clinical data of 35 cases of sudden death of mental patients were analyzed in hospital. Results The ratio for the occurrence of sudden death for mental patients in hospital is 0.74%, which takes up 43.9% of the total death patients. 10 cases are patients aged over 60 years old, which takes up 28.6% of the total sudden death mental patients. 11 cases are patients in hospital for over 3 years, which takes up 31.4%. 25 cases caused by mental medicine takes up 71.4%, among which 9 cases are patients whose bodies being weak before taking medicine. 2 cases of sudden death are related to mental diseases, which takes up 5.71%. Conclusion Sudden death may happen at any period of ages, which has nothing with the length of time for living in hospital but has lot with the mental medicine, the statement of body and the mental diseases. Sound and feasible prevention measures can reduce the occurrence rate for sudden death.