紧张症：给住院医师的叙述性综述
Catatonia: A Narrative Review for Hospitalists.
作者信息
Smith Alyssa C, Holmes Emily G
机构信息
Department of Psychiatry, Indiana University School of Medicine, Indianapolis.
出版信息
Am J Med Open. 2023 Sep 28;10:100059. doi: 10.1016/j.ajmo.2023.100059. eCollection 2023 Dec.
BACKGROUND
Catatonia is a complex psychomotor syndrome commonly associated with psychiatric disorders. However, hospitalists encounter this condition on medical floors, where it is typically due to an underlying medical, especially neurological, etiology. Delays in the diagnosis of catatonia are common and lead to worsened outcomes for patients, including a multitude of medical complications, such as venous thromboembolism and stasis ulcers. Catatonia due to a medical condition is less likely to respond to benzodiazepine therapy; identification and treatment of the underlying cause is crucial.
METHODS
This article provides a practical review of the catatonia literature, with a focus on diagnosis, workup, and management of catatonia for patients admitted to medical hospitals.
CONCLUSIONS
With greater knowledge about catatonia, internists are uniquely positioned to recognize and initiate treatment.
背景
紧张症是一种复杂的精神运动综合征，通常与精神障碍有关。然而，住院医师在医疗科室会遇到这种情况，其通常是由潜在的医学病因，尤其是神经学病因引起的。紧张症诊断的延迟很常见，会导致患者预后恶化，包括出现多种医学并发症，如静脉血栓栓塞和淤积性溃疡。由躯体疾病引起的紧张症对苯二氮䓬类药物治疗的反应较小；识别并治疗潜在病因至关重要。
方法
本文对紧张症相关文献进行了实用综述，重点关注内科住院患者紧张症的诊断、检查和管理。
结论
随着对紧张症的了解增多，内科医生在识别和启动治疗方面具有独特优势。
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