Rack P H
J Int Med Res. 1977;5 Suppl 5:81-90.
There is no adequate classification of obsessive/compulsive phenomena and they frequently co-exist with other psychiatric symptoms, notably depression. Seven years experience in the use of intravenous clomipramine in these conditions is reviewed. Good results have been obtained in the treatment of depression, and obsessive/compulsive/phobic states, and mixed patients. The results in neuroses and personality disorders are poor. It is concluded that clomipramine is the treatment of choice for obsessive/compulsive disorders, with or without accompanying depression.
目前尚无对强迫现象的充分分类，且这些现象常与其他精神症状并存，尤其是抑郁症。本文回顾了在这些情况下使用静脉注射氯米帕明的七年经验。在治疗抑郁症、强迫/恐惧状态以及混合型患者方面取得了良好效果。在神经症和人格障碍方面的效果不佳。得出的结论是，氯米帕明是治疗强迫障碍的首选药物，无论是否伴有抑郁症。
