摘要
目的 :讨论精神障碍型散发性脑炎的临床特点及可能导致误诊的相关因素 ,以及治疗与预后等 ;方法 :从同期住院散发性脑炎病例中 ,按散发病毒性脑炎所致精神障碍诊断标准 ,筛选出精神障碍型散发性脑炎 87例 ,分析其精神症状群特点、误诊情况及治疗与预后等。数据统计用X2 和t检验 ;结果 :精神障碍型散发性脑炎现率占同期住院散发性脑炎的 6 3 2 % ,其中 6 0 92 %以精神症状首发起病 ,精神障碍以未分型精神症状群多见(5 9 77% ) ,早期被误诊为各种功能性精神疾病为 2 6 4 4 % ,其中基层误诊占 82 6 1%。除 1例有精神障碍后遗症外 ,余绝大多数病人都能恢复工作和正常生活 ;结论 :早期以精神障碍为主要表现的散发性脑炎临床常见 ,部分病人可在首诊时被误诊为各种功能性精神疾病。病程中有无精神障碍与散脑预后关系不大 ,但恢复后期出现精神症状者则有持续为后遗症的可能。
Destination:Clinical speciality,error diagnosis factors,treatment and prognosis etc of psychonosema type sporadic cerebritis weredefailled.Method:The psyche syndrome speciality,error diagnosisfactors treatment and prognosis ofpsychonosema type sporadic cerebritis were analyzed by 87 casesof psychonosema type sporadic cerebritis from same time hospitalization patients,on diagnostic standard of psychonosema.mathematical statitics used X and Ttest.the result showed that the proortion of the psychonosema thpye sporadic cerebritis and in same period hospitalization patient was 63.2% and that the early insaion though psyche syndrome was 60.29% and that psyche syndrome of non-sporadic was 59.77% and in early error diagnosis was 26.44% to every funtional psychoses.by basal layer 82.61% Beside one case.the patients of psychonosema the sporadic cerebritis recoveries and has nomal ability of work and life.Result:psyche syndrome of psychonosema type sporadic cerebritis dis-correlated with psyche syndrome in early course of disease.but the psyche sydrome in restoration stage may is commemorativesign.\;
出处
《农垦医学》
2002年第1期9-11,共3页
Journal of Nongken Medicine
关键词
散发性脑炎
精神障碍
Sporadic Cerebritis,Pyschonosema
