偏执性精神障碍71例临床分析

A clinical analysis of 71 patients with paranoid disorders.

本文报导偏执性精神障碍共71例,其中偏执狂13例,偏执状态58例,与CCMD-2相对照,符合诊断标准者偏执狂为6例,偏执状态为45例,经再次住院或随访1～10年,维持原诊断者分别为3例和38例。并发现近40年来无1例诊断为急性妄想发作(妄想阵发)。另对CCMD-2略作评价和建议。

Seventy- one patients with paranoid disorders including 13 cases of paranoia and 58 eases of paranoid state are reported. The diagnoses were compared with CCMD-2 6 cases were paranoia and 45 cases paranoid psychosis according to the diagnostic criteria and no case was diagnosed as acute delusional disorder (transient delusional episode) in recent 40 years. Among them 3 cases of para-noia and 38 cases of paranoid psychoses maintained the diagnoses after readmiss-ion or followed-up 1-10 years, Some evaluations -and suggestions have been raised for CCMD-2.