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[1990年在华沙医学院获得性免疫缺陷综合征诊所接受治疗的有症状艾滋病患者的神经心理障碍]

[Neuropsychological disorders in patients with symptomatic AIDS treated in 1990 at the Acquired Immunodeficiency Syndrome Clinic, Medical Academy, Warsaw].

作者信息

Nasierowski T, Matsumoto H, Kamińska-Kopicz E, Babiuch L

机构信息

Kliniki Psychiatrycznej A.M., Warszawie.

出版信息

Psychiatr Pol. 1991 Sep-Oct;25(5):1-8.

PMID:1821987
Abstract

Material of this study consists of data collected during treatment of HIV infected patients admitted to AIDS Clinic in Warsaw. This unit, as the first in Poland, hospitalized seropositive patients with various infectious problems. Psychiatric complication of HIV infection (which needed psychotropic medication) was already observed in the first patient, who died with AIDS diagnosis (in February, 1987). In this study data concerning patients in AIDS Clinic during 1990 are presented. In this time 89 HIV seropositive patients (11 of these were women) were admitted to the clinic. Fifty two patients (10 of them were women) were IV drug abusers. Other 33 patients were homosexual (among them 4 IV drug abusers). Eight patients were out of high risk groups for HIV infection. Twelve of 89 patients were newly AIDS diagnosed. Three of them were IV drug abusers. Nine of AIDS patients (one a drug abuser) died in 1990. In six of 12 patients with AIDS diagnosis (50%) neuropsychiatric disorders were stated: depressive syndromes (n = 2), dementia syndromes with severe neurological symptoms (n = 2), delirium syndromes (n = 2). Other 3 person were IV drug abusers. In this study all above mentioned cases and their treatment are described. Our data suggest that HIV seropositive patients with psychiatric disorders need very careful diagnosis and an individual therapeutic intervention.

摘要

本研究的材料包括在华沙艾滋病诊所接受治疗的艾滋病毒感染患者的相关数据。该机构是波兰首个收治患有各种感染问题的血清阳性患者的单位。在首例被诊断为艾滋病并死亡的患者(1987年2月)身上,已经观察到了艾滋病毒感染的精神并发症(需要使用精神药物治疗)。本研究展示了1990年艾滋病诊所患者的相关数据。在这期间,89名艾滋病毒血清阳性患者(其中11名是女性)被收治入院。52名患者(其中10名是女性)是静脉注射吸毒者。另外33名患者是同性恋者(其中4名是静脉注射吸毒者)。8名患者不属于艾滋病毒感染的高危人群。89名患者中有12名被新诊断为艾滋病。其中3名是静脉注射吸毒者。1990年,9名艾滋病患者(其中1名是吸毒者)死亡。在12名艾滋病确诊患者中有6名(50%)被诊断患有神经精神障碍:抑郁综合征(2例)、伴有严重神经症状的痴呆综合征(2例)、谵妄综合征(2例)。另外3人是静脉注射吸毒者。本研究描述了上述所有病例及其治疗情况。我们的数据表明,患有精神障碍的艾滋病毒血清阳性患者需要非常仔细的诊断和个体化的治疗干预。

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