Swart G T, Merskey H S
University of Western Ontario, London.
Can J Psychiatry. 1989 Mar;34(2):84-8. doi: 10.1177/070674378903400202.
The charts of 100 adolescents admitted to a special unit of a provincial psychiatric hospital were reviewed. These patients primarily had a conduct disorder (71.6% of boys and 77.5% of girls) or an affective disorder (6.6% of boys, 15.0% of girls). There was a higher incidence of congenital disorders in the population than expected, suggesting that such disorders may predispose to psychological troubles later in life. Convulsions also occurred more often in this population. Most patients (78.3% of boys and 85.0% of girls) had one or more medical diagnoses. Several potentially serious findings (anemia, pregnancy, hepatomegaly, thyroiditis) were first noted on the admission physical examination. Patients with conduct disorder had certain health problems that are likely to be the result of the psychiatric disorder, such as liver function changes in drug and alcohol abusers and abnormal Pap smears in sexually active girls with multiple partners. If these medical conditions are not followed and treated, they have the potential for causing serious problems at a later date. These findings point out the continued need for the expertise of psychiatrists and other physicians in children's mental health facilities.
对一家省级精神病院一个特殊科室收治的100名青少年的病历进行了回顾。这些患者主要患有品行障碍（男孩占71.6%，女孩占77.5%）或情感障碍（男孩占6.6%，女孩占15.0%）。该人群中先天性疾病的发病率高于预期，表明此类疾病可能使患者在日后生活中易患心理问题。惊厥在该人群中也更常发生。大多数患者（男孩占78.3%，女孩占85.0%）有一种或多种医学诊断。在入院体格检查时首次发现了一些潜在的严重病症（贫血、怀孕、肝肿大、甲状腺炎）。患有品行障碍的患者存在某些健康问题，这些问题可能是精神障碍的结果，例如药物和酒精滥用者的肝功能变化以及有多个性伴侣的性活跃女孩的巴氏涂片异常。如果这些医疗状况得不到跟踪和治疗，日后有可能引发严重问题。这些发现表明儿童心理健康机构持续需要精神科医生和其他医生的专业知识。
