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表现为短暂性精神病的精神分裂症的临床特征

[Clinical features of schizophrenia manifesting itself as transitory psychoses].

作者信息

Borisova K E

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(1):73-9.

PMID:6829255
Abstract

The clinical features as well as prognosis of schizophrenia manifesting by acute transient psychoses at a mature age were studied in 80 patients. Two types of manifesting attacks were described: the first one developed as an affective delirious state with fantastic subject matter of delirious emotional experience and with clouded consciousness; the second one developed as an acute paranoid. The latent period characterized by contractive reactive lability preceded transient psychoses as the disease manifestation. Psychic disorders that followed depended on the reactive lability of the latent period. The clinical course was slow-progressive; the repeated "clishe"-like attacks developed transiently. External pathogenic effects influence on transient psychoses clinical course is discussed. The peculiar variants of schizophrenic psychosis developing as transient attacks, which appeared to be reactions by their mechanism but fhyft by their clinical matter, are also discussed.

摘要

对80例成年期以急性短暂性精神病表现的精神分裂症患者的临床特征及预后进行了研究。描述了两种表现形式的发作:第一种表现为情感性谵妄状态,伴有谵妄性情感体验的奇幻主题且意识模糊;第二种表现为急性偏执型。以收缩性反应性易变性为特征的潜伏期先于短暂性精神病作为疾病表现出现。随后的精神障碍取决于潜伏期的反应性易变性。临床病程为缓慢进行性;反复出现的“陈词滥调”样发作呈短暂性发展。讨论了外部致病因素对短暂性精神病临床病程的影响。还讨论了作为短暂性发作出现的精神分裂症性精神病的特殊变体,其机制上似乎是反应性的,但临床症状却有所不同。

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