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惊恐发作的医学评估。

Medical evaluation of panic attacks.

作者信息

Raj A, Sheehan D V

出版信息

J Clin Psychiatry. 1987 Aug;48(8):309-13.

PMID:3301823
Abstract

Panic disorder with or without agoraphobia is dominated by the occurrence of panic attacks. However, panic attacks are also reported to occur as part of the clinical picture in several medical conditions, notably thyroid disease, hypoglycemia, and pheochromocytoma. The authors examine these conditions, review the relevant literature, and offer an evaluation strategy. Routine screening is not recommended. Panic disorder is also associated with mitral-valve prolapse and temporal lobe seizures. The authors explore the possible consequences of this association and outline an evaluation strategy. Again, routine screening is not recommended.

摘要

伴有或不伴有广场恐惧症的惊恐障碍以惊恐发作为主要特征。然而,据报道,惊恐发作也作为几种疾病临床表现的一部分出现,特别是甲状腺疾病、低血糖症和嗜铬细胞瘤。作者研究了这些疾病,回顾了相关文献,并提供了一种评估策略。不建议进行常规筛查。惊恐障碍还与二尖瓣脱垂和颞叶癫痫有关。作者探讨了这种关联可能产生的后果,并概述了一种评估策略。同样,不建议进行常规筛查。

相似文献

1
Medical evaluation of panic attacks.惊恐发作的医学评估。
J Clin Psychiatry. 1987 Aug;48(8):309-13.
2
Mitral valve prolapse and thyroid abnormalities in patients with panic attacks.惊恐发作患者的二尖瓣脱垂与甲状腺异常
Am J Psychiatry. 1987 Apr;144(4):493-6. doi: 10.1176/ajp.144.4.493.
3
Mitral valve prolapse and panic disorder.二尖瓣脱垂与惊恐障碍。
Psychiatr Clin North Am. 1985 Mar;8(1):63-71.
4
Clomipramine treatment for panic attacks in patients with mitral valve prolapse.氯米帕明治疗二尖瓣脱垂患者的惊恐发作。
J Clin Psychiatry. 1984 Jan;45(1):25-7.
5
Mitral valve prolapse and panic disorder.二尖瓣脱垂与惊恐障碍。
Bull Menninger Clin. 1990 Spring;54(2):199-208.
6
Mitral valve prolapse and panic attacks.
Isr J Med Sci. 1982 Feb;18(2):221-3.
7
Routine screening of thyroid indices in patients with panic attacks.惊恐障碍患者甲状腺指标的常规筛查。
J Clin Psychiatry. 1988 May;49(5):204-5.
8
Differential diagnosis of anxiety disorders.焦虑症的鉴别诊断。
Prog Neuropsychopharmacol Biol Psychiatry. 1983;7(4-6):605-9. doi: 10.1016/0278-5846(83)90032-5.
9
Panic attacks. A review of treatments and pathogenesis.惊恐发作:治疗与发病机制综述
J Nerv Ment Dis. 1981 Oct;169(10):608-13.
10
Past and current thyroid function in subjects with panic disorder.
J Clin Psychiatry. 1987 Dec;48(12):473-6.

引用本文的文献

1
Clinical Approaches to Psychogenic Nonepileptic Seizures.精神性非癫痫性发作的临床治疗方法。
Focus (Am Psychiatr Publ). 2016 Oct;14(4):422-431. doi: 10.1176/appi.focus.20160020. Epub 2016 Oct 7.
2
A comparison of low-dose risperidone to paroxetine in the treatment of panic attacks: a randomized, single-blind study.低剂量利培酮与帕罗西汀治疗惊恐发作的比较:一项随机单盲研究。
BMC Psychiatry. 2009 May 26;9:25. doi: 10.1186/1471-244X-9-25.