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[精神分裂症急性幻觉状态的临床鉴别与预后]

[Clinical differentiation and prognosis of acute hallucinatory conditions in schizophrenia].

作者信息

Nikiforova I Iu

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(1):79-83.

PMID:1647116
Abstract

Altogether 61 patients with schizophrenia manifesting for the first time by hallucinatory disorders, playing the leading part in the psychosis picture were examined. 3 typological varieties of acute hallucinatory conditions were described, their comparative characteristics were provided. It has been demonstrated that acute hallucinosis occurred during the disease in different clinical forms: so-called schizophrenic reactions in latent disease (variant I), phases and attacks within the framework of a well-defined attack-like (shift-like) and similar to a recurrent (variant and an attack-like progredient course, approximating to a continuous one (variant III). Problems of a comparative assessment of the further disease course manifesting by different conditions of acute hallucinosis and adequacy of the use of the elaborated typology thereof for prediction and choice of therapy are discussed.

摘要

共检查了61例首次以幻觉障碍为首发表现且在精神病症状中起主导作用的精神分裂症患者。描述了急性幻觉状态的3种类型,并提供了它们的比较特征。已证明急性幻觉症在疾病过程中以不同的临床形式出现:潜在疾病中的所谓精神分裂症反应(I型)、明确的发作样(转变样)框架内的阶段和发作以及类似于复发的(II型)和发作样进行性病程,近似于持续性病程(III型)。讨论了对不同急性幻觉症状态所表现出的进一步疾病进程进行比较评估的问题,以及所阐述的其类型学在预测和治疗选择中的适用性问题。

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