Schweitzer I, Rosenbaum M B
Gen Hosp Psychiatry. 1982 Dec;4(4):271-9. doi: 10.1016/0163-8343(82)90085-8.
The surgical literature on replant patients was reviewed and reports of psychiatric complications were noted. Data for this study were obtained from semistructured psychiatric interviews administered to 30 replant patients within a few days of admission. In addition, 24 of the patients received two or more follow-up interviews. Thirty-three percent of the patients showed evidence of preaccident psychopathology; 20% suffered from a substance use disorder. Fifty percent of the patients reported a stressful life event within the year antedating the accident. Sixty percent of the patients were assessed as warranting psychiatric intervention. The presence of preaccident psychopathology, family or marital dysfunction, previous psychiatric history, and a stressful life event were all positively associated with the occurrence of an adverse postoperative emotional reaction. Case material is presented to illustrate specific psychological issues of replantation surgery, such as those concerning body image and the disruption to body integrity. Suggestions for further research are given.
回顾了有关再植患者的外科文献，并记录了精神并发症的报告。本研究的数据来自于对30例再植患者入院后几天内进行的半结构化精神访谈。此外，24例患者接受了两次或更多次随访访谈。33%的患者有事故前精神病理学证据；20%患有物质使用障碍。50%的患者报告在事故前一年发生过应激性生活事件。60%的患者被评估为需要精神科干预。事故前精神病理学、家庭或婚姻功能障碍、既往精神病史以及应激性生活事件的存在均与术后不良情绪反应的发生呈正相关。文中呈现了病例资料以说明再植手术的具体心理问题，例如与身体形象和身体完整性破坏有关的问题。并给出了进一步研究的建议。
