42例精神科急诊患者的临床分析

Clinical Analysis of 42 Psychiatric Emergency Cases

为了探讨影响精神科急诊就诊的因素及治疗策略 ,对人群特点进行临床描述 ,对 1998年 12月～ 1999年 10月精神科急诊患者 4 2例进行调查 .结果 :神经症占 3 8 1% ,神经内科联合会诊频率最高 ,治疗以单一使用苯二氮卓类为首选 .4 0 4 8%需危机干预 .无既往史、家族史 ,生活平稳 ,无烟酒嗜好 ,经济状况良好的人群较少接触精神疾病领域 ,遇到应激时急诊的可能性大 ,更需专业人员的帮助 .

To study the effect and therapy principles of psychiatric emergencies so as to present the patients′ clinical characters, 42 psychiatric emergency cases were investigated in a general hospital during one year. 38 1% cases were neurosis which needed the most frequent combined consultation in Dept of Neurology. The most common treatment choice was only by benzodiazepine.40 48% patients needed crisis-intervene. The analysis showed that the person who lived in good condition without history or family history, smoking or drinking will seldom suffer from any mental diseases, but need psychiatric emergency consultant and therapist′s help when encountering stress.