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孕期及产后的精神科急症

Psychiatric Emergencies in Pregnancy and Postpartum.

作者信息

Rodriguez-Cabezas Lisette, Clark Crystal

机构信息

Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University, Chicago.

Edward Hines Jr. VA Medical Center, Hines, Illinois.

出版信息

Clin Obstet Gynecol. 2018 Sep;61(3):615-627. doi: 10.1097/GRF.0000000000000377.

Abstract

The perinatal period is a vulnerable time for the acute onset and recurrence of psychiatric illness. Primary care providers are opportunely positioned to intervene for women who present with mood decompensation, excessive anxiety, or psychosis during the perinatal period. Owing to increased screening efforts in obstetrical clinics and amount of contact during the perinatal period, obstetricians may be able to identify patients who need treatment before their symptoms become severe. In this article, we address imminent and emergent psychiatric symptoms in the perinatal period including management and risk reduction to help obstetrician/gynecologists treat and/or refer patients as clinically appropriate.

摘要

围产期是精神疾病急性发作和复发的脆弱时期。初级保健提供者处于有利位置,可以对在围产期出现情绪失代偿、过度焦虑或精神病症状的女性进行干预。由于产科诊所筛查力度加大以及围产期接触时间增多,产科医生可能能够在患者症状变得严重之前识别出需要治疗的患者。在本文中,我们讨论围产期迫在眉睫和紧急的精神症状,包括管理和风险降低,以帮助妇产科医生根据临床情况对患者进行治疗和/或转诊。

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