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[从精神科角度谈意识障碍的诊断与鉴别诊断]

[Diagnosis and differential diagnosis of consciousness disorders from the psychiatric viewpoint].

作者信息

Semler B, Benda N, Ramskogler K, Walter H

机构信息

Klinischen Abteilung für Sozialpsychiatrie und Evaluationsforschung, Universitätsklinik für Psychiatrie, Wien.

出版信息

Wien Med Wochenschr. 2001;151(11-12):270-3.

Abstract

Diagnosis and differential diagnosis of disturbance of consciousness are often difficult, especially when occurring in the course of psychiatric diseases. Apart from discord in defining the term of consciousness it is not always easy to distinguish between qualitative and quantitative alterations of the disorders. The performance of an exact interview and a thorough clinical examination allows an estimation of the degree of dimming of consciousness as well as the possible causes. Disorder of Consciousness is often found in patients carrying out substance abuse but also in the course of other psychiatric diseases such as depression, schizophrenia, personality disorders and dissociative disorders. This article is dealing with the clinical approach towards patients experiencing alterations or disturbances of consciousness and is also trying to communicate innovations in the field of psychiatric diagnostics.

摘要

意识障碍的诊断与鉴别诊断往往困难重重,尤其是当它出现在精神疾病病程中时。除了在意识这一术语的定义上存在分歧外,区分这些障碍的质性和量性改变也并非总是易事。进行精确的问诊和全面的临床检查有助于评估意识模糊的程度以及可能的病因。意识障碍常见于滥用药物的患者,但在其他精神疾病如抑郁症、精神分裂症、人格障碍及分离性障碍的病程中也会出现。本文探讨了针对意识出现改变或障碍的患者的临床处理方法,同时也试图介绍精神科诊断领域的新进展。

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