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[急性心肌梗死患者的神经症及类神经症状态的临床特征]

[Clinical characteristics of neurotic and neurosis-like states in patients with acute myocardial infarct].

作者信息

Matveev V F, Chernosvitov E V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(12):57-60.

PMID:3245378
Abstract

Investigated were 400 patients with first acute myocardial infarction. Borderline psychic disorders were detected in all the patients: neurotic--in 150 and neurosis-like--in 250. In the former group psychogenic reactions to the disease prevailed, and in the latter the responses were primarily somatogenic. Leading syndromes were: astheno-depressive (170 patients), anxio-phobic (190), anxio-hypochondriac (75), hystero-hypochondriac (55), obsessive-hypochondriac (10). Clinical features of these disorders were discussed along with the issues of their differentiation and treatment.

摘要

对400例首次发生急性心肌梗死的患者进行了调查。在所有患者中均检测到边缘性精神障碍:150例为神经症性,250例为类神经症性。在前一组中,对疾病的心理反应占主导,而在后一组中,反应主要是躯体性的。主要综合征有:虚弱-抑郁型(170例患者)、焦虑-恐惧型(190例)、焦虑-疑病型(75例)、癔症-疑病型(55例)、强迫-疑病型(10例)。讨论了这些障碍的临床特征以及鉴别和治疗问题。

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