Lange J T, Lange C L, Cabaltica R B
Eisenhower Army Medical Center, Fort Gordon, Georgia, USA.
Am Fam Physician. 2000 Sep 1;62(5):1035-40, 1046.
Post-traumatic stress disorder, a psychiatric disorder, arises following exposure to perceived life-threatening trauma. Its symptoms can mimic those of anxiety or depressive disorders, but with appropriate screening, the diagnosis is easily made. Current treatment strategies combine patient education; pharmacologic interventions, such as selective serotonin reuptake inhibitors, trazodone and clonidine; and psychotherapy. As soon after the trauma as possible, techniques to prevent the development of post-traumatic stress disorder, such as structured stress debriefings, should be administered. A high index of suspicion for post-traumatic stress disorder is needed in patients with a history of significant trauma.
创伤后应激障碍是一种精神障碍，在经历了被认为危及生命的创伤后出现。其症状可能类似于焦虑或抑郁障碍，但通过适当的筛查，诊断很容易做出。目前的治疗策略包括患者教育；药物干预，如选择性5-羟色胺再摄取抑制剂、曲唑酮和可乐定；以及心理治疗。在创伤后应尽快采用预防创伤后应激障碍发展的技术，如结构化应激汇报。有重大创伤史的患者需要对创伤后应激障碍有高度的怀疑指数。
