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[患有心脏急症的年轻军人中的精神障碍]

[Mental disorders in young serviceman with cardiological emergencies].

作者信息

Nikitin A E, Shamreĭ V K, Kurasov E S

出版信息

Voen Med Zh. 2011 Mar;332(3):35-41.

Abstract

Investigated 82 young servicemen with cardiological emergencies (acute cardiac syndrome, hypertension events, rhythm pace disturbance). Divided three periods of mental disorders: acute, subacute and long-term effects. Found that in 95.1% of patients after emergencies developed state of mental maladaptation of varying degree. In further 47.1% of cases of mental disorders place in the form of psychogenic and somatogenically caused disorders of prenosological level. Among clinically executed forms predominated depressive disorder spectrum (nozogennye reaction and state). In the remote period prevailed somatoform dysfunction and manifestations of personality pathology. Shows the clinical and psychopathological features of these disorders and their effects on military service.

摘要

对82名患有心脏急症(急性心脏综合征、高血压事件、心律和起搏紊乱)的年轻军人进行了调查。划分出精神障碍的三个阶段:急性、亚急性和长期影响。发现95.1%的患者在急症后出现了不同程度的精神适应不良状态。在进一步的47.1%的精神障碍病例中,以心源性和躯体源性导致的前疾病学水平障碍形式出现。在临床已确诊的形式中,抑郁障碍谱系(疾病反应和状态)占主导。在远期,躯体形式功能障碍和人格病理学表现占优势。展示了这些障碍的临床和精神病理学特征及其对兵役的影响。

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