表现为疑病症偏执状态的24例患者临床观察  

Clinical observation of 24 patients suffered from paranoid hypochondriasis

作　　者：张小河 

机构地区：[1]揭西县人民医院内科,广东揭阳515400

出　　处：《中国医学前沿杂志（电子版）》2014年第4期128-131,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的探讨表现为疑病症偏执状态患者的临床表现、诊断与鉴别诊断要点及误诊原因。方法收集2005年3月至2013年3月本院门诊和住院患者中表现为疑病症偏执状态患者24例,研究其临床表现与疑病性神经症、分离(转换)障碍、偏执型精神分裂症的鉴别点,误诊原因及诊治重点。结果所有患者经连续观察、门诊随访治疗效果,5例疑病观念完全缓解;11例好转,并恢复自知力;8例效果差,不能坚持治疗。结论疑病性偏执状态与疑病性神经症为鉴别难点,但有其共病基础,重症病例应及早诊断为偏执状态加以治疗。Objective To investigate clinical manifestation, diagnosis and differential diagnosis of paranoid hypochondriasis. Methods 24 outpatients and inpatients in our hospital suffered from paranoid hypochondriasis from March 2005 to March 2013 were collected. The clinical manifestations, hypochondriacal neurosis, separation (conversion) disorder, paranoid schizophrenia differential point, misdiagnosis cause and diagnosis focus were systematically studied. Results With continuous observation and outpatient follow-up treatment, 5 patients’ hypochondriacal ideas were completely relieved, 11 patients were improved and recovered treatment, 8 patients acquired poor effect and interrupted treatment. Conclusion Although identiifcation of paranoid hypochondriasis and hypochondriacal neurosis had dififculty, there was comorbidity foundation between these two diseases. The severe patient should be early diagnosed as paranoid state and treated.

关 键 词：疑病症 疑病性偏执状态 疑病性神经症 

分 类 号：R749.7[医药卫生—神经病学与精神病学]