Courtemanche D J, Robinow O
Department of Surgery, Vancouver General Hospital, University of British Columbia.
J Burn Care Rehabil. 1989 May-Jun;10(3):247-50. doi: 10.1097/00004630-198905000-00010.
In 1980 the third edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association (DSM-III) provided the first descriptive classification for post-traumatic stress disorder as a unique diagnostic entity. Since then, many reports describing this condition in Vietnam War veterans have appeared, as well as occasional reports of the disorder after civilian trauma. We have found only one previous report of this disorder as a sequela to thermal injury. This article presents two illustrative case reports of burn victims suffering from post-traumatic stress disorder, highlighting the phenomenology leading to the diagnosis. The treatment and outcome are also presented. The importance of recognizing and treating this disorder in burn victims is discussed. Treatment results in improved compliance through all phases of therapy and an overall decrease in patient morbidity, especially psychologic problems. The need for psychiatric consultation, evaluation, and follow-up of the burn victim is emphasized.
1980年，美国精神病学协会《精神疾病诊断与统计手册》第三版（DSM - III）首次将创伤后应激障碍作为一种独特的诊断实体进行了描述性分类。从那时起，出现了许多描述越战退伍军人中这种病症的报告，以及平民创伤后偶尔出现的该障碍报告。我们仅发现之前有一份关于这种障碍作为热损伤后遗症的报告。本文呈现了两例烧伤受害者患创伤后应激障碍的典型病例报告，突出了导致诊断的现象学特征。还介绍了治疗方法及结果。讨论了在烧伤受害者中识别和治疗这种障碍的重要性。治疗可提高患者在治疗各阶段的依从性，并总体降低患者发病率，尤其是心理问题。强调了对烧伤受害者进行精神科会诊、评估及随访的必要性。
