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产后精神病

[Post-partum psychosis].

作者信息

Gressier Florence, Letranchant Aurélie, Hardy Patrick

出版信息

Rev Prat. 2015 Feb;65(2):232-4.

Abstract

Postpartum psychosis occurs in 1-2/1000 childbearing women. It is commonly admitted that it belongs to bipolar disorder with psychotic features. A strong link between puerperal psychosis and bipolar disorder has been established. Symptoms include rapid mood fluctuations, confusion, delusions, hallucinations and bizarre behaviour. It can lead to devastating consequences. It is a psychiatric emergency that requires an urgent evaluation to exclude any organic cause. Therefore, early identification and appropriate treatment are critical. A quick and effective relief is necessary for maternal and child health and mother-infant relationship. Perinatal health professionals have to be accurate screening postpartum psychosis symptoms and have to educate patients and their family.

摘要

产后精神病在每1000名育龄妇女中发生率为1 - 2例。普遍认为它属于伴有精神病性特征的双相情感障碍。产褥期精神病与双相情感障碍之间已建立起紧密联系。症状包括情绪快速波动、意识模糊、妄想、幻觉及怪异行为。它可能导致毁灭性后果。这是一种精神科急症,需要紧急评估以排除任何器质性病因。因此,早期识别和恰当治疗至关重要。对于母婴健康及母婴关系而言,迅速有效的缓解是必要的。围产期保健专业人员必须准确筛查产后精神病症状,并且必须对患者及其家人进行教育。

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