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[头部损伤所致早发性精神病性障碍的计算机断层扫描结果及临床分析。52例报告]

[Computerized tomography findings and clinical analysis of psychiatric disorder of praecox from head injury. Report of 52 cases].

作者信息

Liu K

机构信息

Department of Neurosurgery, Chongqing Frist-aid Center Hospital.

出版信息

Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1992 Oct;25(5):310-2, 319.

PMID:1291256
Abstract

This article reports and analyses 52 cases of psychiatric disorders of praecox from head injury. These patients included 39 males and 13 females. They were 13-80 years old. All of them examples by CT scan and found intracerebral hematomas or cerebral contusion. The shortest course of disease was 3 day, and the longest course was 53 day. 44 cases (84.7%) appear psychiatric disorders in first week. The most frequent psychiatric symptoms was disturbances of consciousness and dysmnesia. Disturbance of emotion, change of personality were also observed. Frequency of psychiatric disorders was same in brain traumatic of left or right lateralis. Course of disease and degree of psychiatric symptoms had nothing to do with size of hematoma and cerebral contusion, and relate to compression of ventricles of the brain. Encephalo-edema around the focus leading to regional compression of the brain was important factors for the disorder. The appearance of this disorder was early, course of disease was short, and prognosis was good.

摘要

本文报告并分析了52例因头部受伤导致的早发性精神障碍病例。这些患者包括39名男性和13名女性。年龄在13至80岁之间。他们均通过CT扫描检查,发现有脑内血肿或脑挫伤。病程最短3天,最长53天。44例(84.7%)在第一周出现精神障碍。最常见的精神症状是意识障碍和记忆障碍。也观察到了情绪障碍和人格改变。左、右侧脑外伤后精神障碍的发生率相同。病程和精神症状的程度与血肿和脑挫伤的大小无关,而与脑室受压有关。病灶周围的脑水肿导致局部脑受压是该障碍的重要因素。该障碍出现早,病程短,预后良好。

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