急性心肌梗死患者并发精神症状临床分析(附7例报告)

Clinical analysis of seven cases with acute myocardial infarction complicated psychiatric symptoms

目的:探讨急性心肌梗死(AMI)并发精神症状的原因和治疗方法。方法:回顾分析7例AMI并发精神症状患者的临床资料、诊断和治疗方法。结果:所有患者均给以规范的冠心病二级预防治疗。病例1、3给以心境稳定剂,心理疏导、亲人安慰关怀,症状很快缓解;病例4转脑外科治疗;病例5予以小剂量镇静剂联合心理辅导;病例2、6、7给以小剂量抗精神病药物治疗。所有患者出院前均恢复正常。出院后1,3,6月随访患者无精神症状发生。结论:急性心肌梗死并发精神症状在常规冠心病治疗基础上给予心理治疗及抗精神病药物治疗预后良好。

Objective：To study causes and therapeutic methods of acute myocardial infarction（AMI） complicated psychiatric symptoms.Methods：Clinical data,diagnosis and therapeutic methods of seven AMI patients complicated psychiatric symptoms were retrospectively analyzed.Results：All patients received uniform secondary prevention and therapy for coronary heart disease.First case and third case received mood stabilizers,psychological counseling and comforts from family,and symptoms relieved soon;fourth case was transferred to brain surgery;fifth case received amall dose of sedative combined psycholgical counseling;second,sixth and seventh cases received small dose of antipsychotics.All patients recovered before discharge.No psychiatric symptoms occurred on first,third and sixth month after discharge.Conclusion：Psychological therapy and antipsychotic drug treatment based on routine treatment of coronary heart disease can achieve good prognosis in patients with acute myocardial infarction complicated psychiatric symptoms.