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综合医院中的精神科急诊

Psychiatric emergencies in the general hospital.

作者信息

Fulop G, Strain J J

出版信息

Gen Hosp Psychiatry. 1986 Nov;8(6):425-31. doi: 10.1016/0163-8343(86)90025-3.

Abstract

Using a psychiatric consultation data base, 1257 referrals were classified into "stat" (14%), "today" (44%), and "routine" (42%) status of urgency. "Stat" referrals compared to the "today" and "routine" group were more likely to be male, highly educated, and 20-39 years old or over 80 years of age. The "stat" group was referred more often for the management of behavior and suicide risk evaluation, and received more diagnoses of organic mental disorders than the other referrals. An increased number of "stat" patients required constant observation on the medical/surgical ward, narcotic or neuroleptic administration, and inpatient psychiatric treatment.

摘要

利用一个精神科会诊数据库,1257例转诊被分为“紧急”(14%)、“今日”(44%)和“常规”(42%)三种紧急程度状态。与“今日”组和“常规”组相比,“紧急”转诊的患者更可能为男性、受过高等教育,年龄在20至39岁或80岁以上。与其他转诊患者相比,“紧急”组因行为管理和自杀风险评估而被转诊的频率更高,且被诊断患有器质性精神障碍的比例更高。越来越多的“紧急”患者需要在内科/外科病房进行持续观察、使用麻醉剂或抗精神病药物以及接受住院精神科治疗。

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