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综述文章:急诊科的躯体化障碍:当前挑战与未来方向的批判性概述

Review article: Somatization Disorders in emergency department: A critical overview of current challenges and future directions.

作者信息

Garde Vidula, Churchill Meryl, Greenslade Jaimi, Watt Kerrianne, Mallett Andrew J, Morel Douglas

机构信息

Townsville Hospital and Health Service, Townsville, Queensland, Australia.

College of Public Health, Medical and Veterinary Science, James Cook University, Townsville, Queensland, Australia.

出版信息

Emerg Med Australas. 2025 Feb;37(1):e70009. doi: 10.1111/1742-6723.70009.

Abstract

Individuals with Somatization Disorders present frequently to the ED with non-cardiac chest pain, non-specific abdominal pain, headaches and a range of other non-specific symptoms. Somatization Disorder presentations are ubiquitous within the healthcare system. Seen as belonging to 'no man's land', these disorders, are often diagnosed and treated by different medical subspecialities. This characteristic of Somatization Disorders creates challenges regarding their diagnosis and management across emergency care settings. The current review explores the scope of the problem and, the challenges inherent in diagnosing and treating these disorders in ED environments. Based on available evidence and the essential character of these disorders, future directions are suggested for more effective emergency management and possible referral from ED.

摘要

患有躯体化障碍的个体经常因非心源性胸痛、非特异性腹痛、头痛及一系列其他非特异性症状前往急诊科就诊。躯体化障碍的症状在医疗系统中普遍存在。这些疾病被视为处于“无人区”,往往由不同的医学专科进行诊断和治疗。躯体化障碍的这一特征给跨急诊护理环境的诊断和管理带来了挑战。本综述探讨了该问题的范围,以及在急诊科环境中诊断和治疗这些疾病所固有的挑战。基于现有证据和这些疾病的本质特征,提出了未来更有效进行急诊管理及可能从急诊科进行转诊的方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1660/11815603/9ea7895f6b49/EMM-37-0-g001.jpg

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