中重型颅脑损伤患者精神障碍的临床分析

Clinical analysis of psychiatric disorder in the patients with moderate and severe 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 94例颅脑损伤患者的临床资料。结果在94例患者中 ,共有 6 7例出现精神障碍。重型颅脑损伤者的发生率较高 ,其表现以智能减退为主 ,而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伤并 (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、颞叶时更易发生。结论颅脑损伤患者在接受专科治疗的同时 ,也应重视精神障碍的发生并给予相应处理。

Objective To explore the relationship between psychiatric disorder and injury in the head injury patients. Methods Clinical data of 94 head injury patients were retrospectively analyzed. Results Of 94 patients, 67 developed psychiactric disorder which had a higher occurrence rate in the severe head injury patients, characterized by intelligence hypophrenia, while psychiatric disorder was more seen in moderate head injury patients; The head injury patients were easy to develop psychiatric disorder when brain laceration and contusion or intracerebral hematoma as well as intraventrial hematoma occurred. In particular, the patients with multiple brain injuris, especially frontal or temporal injury, tended to develop psychiatric disorder. Conclusion Special attention should be given to the presentation and management of psychiatric disorder when the patients are undergoing neurosurgical management.