Buchan T, Chikara F B
S Afr Med J. 1980 Jun 28;57(26):1095-8.
A prospective survey was undertaken of 104 consecutive Black patients newly referred to a psychiatric outpatient clinic in a general hospital. Schizophrenia, acute brain syndromes and depression emerged as the major diagnostic categories, comprising almost two-thirds of the patients. The differentiation between acute brain syndromes and schizophrenia proved to be particularly difficult, and the outpatient management of patients with significant thought disorders or clouding of consciousness is not recommended. The diagnostic features of depression, on the other hand, are fairly reliable and depressives can usually be managed on an outpatient basis, which may save a large number of admissions to both medical and psychiatric beds.
对一家综合医院精神科门诊新收治的104例连续黑人患者进行了前瞻性调查。精神分裂症、急性脑综合征和抑郁症成为主要诊断类别，占患者总数的近三分之二。事实证明，区分急性脑综合征和精神分裂症特别困难，因此不建议对有明显思维障碍或意识模糊的患者进行门诊治疗。另一方面，抑郁症的诊断特征相当可靠，抑郁症患者通常可以在门诊进行治疗，这可能会减少大量占用内科和精神科病床的住院人数。
