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[精神分裂症急性谵妄综合征的临床诊断评估]

[Clinico-diagnostic evaluation of acute delirious syndromes in schizophrenia].

作者信息

Panteleeva G P

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(1):63-8.

PMID:2718668
Abstract

Psychopathologic and nosologic issues of acute paranoid and Kandinsky-Clerambault syndromes are discussed on the background of clinical studies of 225 schizophrenic patients with these syndromes being initial manifestations. The data on the syndromes typology, clinical value and prognosis of acute delirious disorders are presented. These are shown to be not confined to progredient schizophrenia, including its paranoid form. Rather, they can manifest a course of the disease unspecific for schizophrenia, the so-called schizophrenic reactions and phasic states thus reflecting the course of latent schizophrenia. A differentiated approach to clinical and psychopathological analysis of acute delirious syndromes in schizophrenia is essential for adequate choice of medicosocial measures and epidemiologic investigations.

摘要

在对225例以急性偏执和康定斯基-克莱伦博综合征为首发表现的精神分裂症患者进行临床研究的背景下,讨论了急性偏执和康定斯基-克莱伦博综合征的精神病理学和分类学问题。文中呈现了急性谵妄障碍的综合征类型、临床价值和预后的数据。结果表明,这些障碍并不局限于进行性精神分裂症,包括其偏执型。相反,它们可以表现出对精神分裂症而言不具有特异性的病程,即所谓的精神分裂症反应和阶段性状态,从而反映出潜在精神分裂症的病程。对精神分裂症急性谵妄综合征进行临床和精神病理学分析时采用差异化方法,对于合理选择社会医疗措施和开展流行病学调查至关重要。

相似文献

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[Clinico-diagnostic evaluation of acute delirious syndromes in schizophrenia].
Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(1):63-8.
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[Problem of reactive delusion formation in slowly progressive schizophrenia].
Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(1):86-93.

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