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一名精神分裂症患者自摘除眼球未成功。

Unsuccessful self-enucleation in a schizophrenic patient.

作者信息

Bar-Yaakov Noam, Noy Achiron Romi, Paul Michael, Achiron Asaf

机构信息

The Ruth and Bruce Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel.

Tel Aviv University, Tel Aviv, Israel.

出版信息

Case Rep Ophthalmol Med. 2014;2014:237214. doi: 10.1155/2014/237214. Epub 2014 Sep 21.

DOI:10.1155/2014/237214
PMID:25328735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4189841/
Abstract

Self-enucleation is a very unusual form of self-mutilation directly linked to mental illness. In this case we present a 26-year-old schizophrenic patient who attempted to enucleate his eye with a rollerball pen. Antipsychotic therapy and emergency surgery saved the patient eye and emphasize the importance of quick response and good collaboration between psychiatric and ophthalmic teams.

摘要

自我摘除眼球是一种与精神疾病直接相关的非常罕见的自残形式。在本病例中，我们报告一名26岁的精神分裂症患者，他试图用圆珠笔摘除自己的眼球。抗精神病治疗和急诊手术挽救了患者的眼睛，并强调了精神科和眼科团队快速反应及良好协作的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecf7/4189841/83d8f15a280f/CRIOPM2014-237214.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecf7/4189841/7e7b5cffd911/CRIOPM2014-237214.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecf7/4189841/e870423549e9/CRIOPM2014-237214.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecf7/4189841/83d8f15a280f/CRIOPM2014-237214.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecf7/4189841/7e7b5cffd911/CRIOPM2014-237214.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecf7/4189841/e870423549e9/CRIOPM2014-237214.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecf7/4189841/83d8f15a280f/CRIOPM2014-237214.003.jpg

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本文引用的文献

1
Self-enucleation: forget Freud and Oedipus, it's all about untreated psychosis.自剜眼：忘掉弗洛伊德和俄狄浦斯，这一切都是因为未经治疗的精神病。
Br J Ophthalmol. 2012 Aug;96(8):1056-7. doi: 10.1136/bjophthalmol-2012-301531. Epub 2012 Feb 28.
2
Autoenucleation: a case report and literature review.眼球自摘除术：一例病例报告及文献综述
Psychiatry (Edgmont). 2007 Oct;4(10):60-2.
3
Treating competent patients by force: the limits and lessons of Israel's Patient's Rights Act.强制治疗有行为能力的患者：以色列《患者权利法》的局限与教训
J Med Ethics. 2005 Jan;31(1):29-34. doi: 10.1136/jme.2002.000877.
4
Self-inflicted eye injuries: a review.自我造成的眼部损伤：综述
Eye (Lond). 2004 Sep;18(9):867-72. doi: 10.1038/sj.eye.6701365.
5
Self-enucleation in drug-related psychosis.药物相关性精神病中的自我眼球摘除
Ophthalmologica. 2002 Jul-Aug;216(4):269-71. doi: 10.1159/000063852.
6
An unusual case of ocular self-injury.一例罕见的眼部自我伤害病例。
Eye (Lond). 2001 Oct;15(Pt 5):660-1. doi: 10.1038/eye.2001.206.