摘要
目的探讨慢性精神分裂症患者胸部X线表现及临床特点。方法随机抽取在我院精神科住院5年以上的50例精神分裂症患者(研究组),选取健康人为对照组,对其胸片前后对照分析,采用配对t检验对5年前后肺叶面积进行统计学处理;我们制订的X线评价标准主要有:双膈顶上升;单侧和/或双侧肺底盘状肺不张;"心脏淹没征";心脏旋转,心尖左下延伸;两肺下野纹理聚集;上纵隔影增宽。结果研究组5年后肺叶面积明显<5年前,两年份间数据有显著性差异(P<0.01)。双膈顶上升37例;单侧和/或双侧肺底盘状肺不张19例;"心脏淹没征"24例;心脏旋转,心尖左下延伸19例;两肺下野纹理聚集37例;上纵隔影增宽17例。结论慢性精神分裂症患者有胸部形态学和病理学改变,其发生与抗精神病药物的不良反应和内分泌紊乱相关。
Objective To research the symptom of the breast X - ray of chronic schizophrenia and the influence of its clinical features. Methods Take 50 patients who have been under treatment in our hospital for over 5 years as sample of psychotic group and same number of healthy people as control group. Analyze their X - ray film, using statistics to deal with their lung area of both before and after 5 years. The evaluation criterion of the X - ray are： Double layer rise; Single of double lung base no dilation;Heart drown;Heart turing with the heart apex extending to the left;The double lung bottom have gathering stripes;The upper layer have wider shadow. Results The lung lobes of the patient group become smaller than they were 5 years ago,the data show great difference between two years ago （ P 〈 0. 01 ）. Among them,37 cases show the double layer rise;19 cases show no single or double lung base dilation ;24 cases show heart drown;19 cases show heart turing and heart apex extending to the left ;37 eases show double lung bottom gathering stripes;17 cases show wider shadow. Conclusion The morphology and pathology of the schizophrenia patients have changed,this if related to the side effect of anti -schizophrenia medicine and endocrine disturbance.
出处
《四川精神卫生》
2009年第1期23-25,共3页
Sichuan Mental Health
