硫喷妥钠试验在骨科癔症患者治疗中的应用
The pentothal test in the management of orthopaedic patients with hysterical illness.
作者信息
Cornell M S, Ahktar T, Slater R N, Walker C J
机构信息
Department of Orthopaedic and Trauma Surgery, Maidstone Hospital, Kent, England.
出版信息
J R Soc Med. 1996 Jan;89(1):37P-8P. doi: 10.1177/014107689608900111.
Hysterical illness may be defined as symptoms normally associated with disease without pathological basis. Orthopaedics attracts more of these patients than most specialties. They are intensively and expensively investigated, yet clinicians remain anxious they are missing genuine pathology. We use examination under pentothal, without analgesia, to help distinguish real from imagined symptoms. The results of a review of patients evaluated under pentothal over the past two years are presented.
癔症性疾病可定义为通常与疾病相关但无病理基础的症状。与大多数专科相比，骨科吸引的这类患者更多。他们接受了密集且昂贵的检查，但临床医生仍担心会漏诊真正的病理情况。我们采用硫喷妥钠麻醉下检查（不使用镇痛剂）来帮助区分真实症状与臆想症状。本文呈现了对过去两年在硫喷妥钠麻醉下评估的患者的回顾结果。
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