Aitken R C, Proudfoot A T
Postgrad Med J. 1969 Sep;45(527):612-6. doi: 10.1136/pgmj.45.527.612.
Patients admitted to the Regional Poisoning Treatment Centre at the Royal Infirmary, Edinburgh, were assessed to identify cases of drug and those who denied the act of self-poisoning. Only two out of 994 instances of poisoning could be attributed to barbiturate automatism. The case histories of these patients are reported. Twenty-nine patients on thirty-one admissions denied the act of self-poisoning and clinical data on this sample are reviewed. It is suggested that there is insufficient evidence for accepting barbiturate automatism as a clinical entity and that the failure of these patients to remember the ingestion of more than a therapeutic dose is the result of psychogenic defence mechanisms. It is concluded that the use of the term contributes nothing to the management of patients poisoned with these drugs.
入住爱丁堡皇家医院地区中毒治疗中心的患者接受了评估，以确定药物中毒病例以及那些否认自我中毒行为的患者。在994例中毒事件中，只有2例可归因于巴比妥类自动症。报告了这些患者的病历。29名患者31次入院时否认自我中毒行为，本文对该样本的临床数据进行了回顾。研究表明，没有足够的证据将巴比妥类自动症视为一种临床实体，这些患者记不起摄入超过治疗剂量药物的情况是心理防御机制所致。结论是，使用该术语对这些药物中毒患者的治疗并无帮助。
