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[精神分裂症源性恐心综合征与伴有神经症反应的慢性冠状动脉疾病的鉴别诊断]

[Differential diagnosis between a cardiophobic syndrome of schizophrenic genesis and chronic coronary disease with neurotic reactions].

作者信息

Ragul'skiĭ D I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(1):121-6.

PMID:842217
Abstract

The author studied 15 patients with cardiophobia in a mental and somatic hospital. It was established that schizophrenic patients with a cardiophobic syndrome quite frequently are admitted to somatic hospitals where they are first regarded as patients with stenocardia and neurotic symptoms. An erroneous diagnosis led to respective and incorrect treatment which aggravated hypochondriacal fixations of these patients. The author describes the structure of cardiophobic syndromes; raptiod cenesthopathic-hypochondric in schizophrenia and simple anxious-neurotic with secondary vegetative reactions in stenocardia. The report contains descriptions of development of a neurotic and neurotic-like cardiophobic syndrome.

摘要

作者在一家精神和躯体疾病医院研究了15例患有心脏恐惧症的患者。研究发现,患有心脏恐惧症综合征的精神分裂症患者经常被收治到躯体疾病医院,在那里他们最初被视为患有心绞痛和神经症状的患者。错误的诊断导致了相应的、不正确的治疗,这加剧了这些患者的疑病性固着。作者描述了心脏恐惧症综合征的结构:精神分裂症中的快速性感觉异常-疑病型,以及心绞痛中伴有继发性自主反应的单纯焦虑-神经症型。该报告包含了对神经症性和类神经症性心脏恐惧症综合征发展情况的描述。

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