颅脑损伤患者精神障碍的临床分析

Clinical Analysis of Psychiatric Disorder in Patients with Head Injury

目的 :探讨颅脑损伤患者精神障碍与损伤的关系。方法 :回顾性分析 16 2例颅脑损伤病人的临床资料。结果 :在 16 2例患者中 ,共有 94例出现精神障碍 ,其中重型颅脑损伤者的发生率较高 ,其表现以智能减退为主 ,而轻、中型颅脑损伤者以神经症综合征多见 ;颅脑损伤在出现脑挫裂并 或脑内血肿、脑室内血肿时易出现精神障碍 ,且多部位脑组织损伤者易出现精神障碍 ,尤其损伤位于额、颞叶更易发生。结论 :颅脑损伤患者在接受专科治疗的同时 。

Objective: To explore the relationship of patients'psychiatric disorder with head injury. Methods: The clinical data of 162 patients with head injury were retrospectively analyzed. Results: There were 94 patients presenting psychiatric disorder in all 162 cases. In severe injury patients, the morbid rate was higher and the major type of psychiatric disorder was the decrease of intellegence. In moderate and minor injury cases, the major type of psychiatric disorder was neurotic syndrome. Psychiatric disorder always happened in patients with brain laceration and contusion, or/and intracerebral hematoma, or intraventrical hematoma. Multiple brain injuries, especially frontal or temporal injury, tended to result in psychiatric disorder. Conclusion: When patients with craniocerebral injury accept neurosurgical management, attention also should be paid on the presentation and management of psychiatric disorder.