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精神分裂症的致命结局(对不同疾病形式的随机医院资料分析)

[Fatal outcomes in schizophrenia (analysis of random hospital material for different forms of the disease)].

作者信息

Nguyen V T

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(3):87-94.

PMID:7080781
Abstract

Two hundred cases of lethal outcomes in schizophrenic patients (who died at one of the Moscow hospitals within a period of 1971 to 1978) are analyzed. These were patients with various forms of the disease: continuously progressing (91 cases), paroxysmal progressing (83 cases), and recurrent (26 cases). It was found that the age distribution of the deceased was close to that indicated by world statistics for developed countries with a shift to the left, mainly, at the expense of males who die at a younger age than females. By the time of the death the ratios between the disease forms changed: the percentages of the continuously progressing and paroxysmal progressing forms in the hospital patients got closer (45.5 and 41.5%, respectively); this brought the distribution to the disease forms in those patients nearer to that observed in schizophrenic outpatients. The somatic causes of the death were similar to those characteristic for the general population: these were cardiovascular diseases (43.0%), malignant neoplasms (15.5%), respiratory diseases (11.5%). The underlying psychic disease was the cause of the death in 22% of the cases. It manifested in the forms of terminal hypostatic pneumonia (54.4%); cachexy (25%); an additional psychic disease (13.7%), and a febrile attack (6.8%).U

摘要

对200例精神分裂症患者的致死病例(1971年至1978年期间死于莫斯科的一家医院)进行了分析。这些患者患有各种形式的疾病:持续进展型(91例)、阵发性进展型(83例)和复发型(26例)。结果发现,死者的年龄分布与世界发达国家统计数据显示的情况相近,但呈左移趋势,主要是因为男性死亡年龄比女性小。到死亡时,疾病形式之间的比例发生了变化:住院患者中持续进展型和阵发性进展型的百分比更接近(分别为45.5%和41.5%);这使得这些患者的疾病形式分布更接近精神分裂症门诊患者的情况。死亡的躯体原因与普通人群的典型原因相似:这些是心血管疾病(43.0%)、恶性肿瘤(15.5%)、呼吸系统疾病(11.5%)。潜在的精神疾病在22%的病例中是死亡原因。其表现形式为终末期坠积性肺炎(54.4%);恶病质(25%);另一种精神疾病(13.7%),以及发热发作(6.8%)。

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1
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Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(3):87-94.
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