颅脑创伤后精神障碍的临床分析  

Clinical Analysis of Mental Disorder dne to Traumatic Brain Injury

作　　者：谈成文[1] 王振芝[1] 王林[1] 柴宾 

机构地区：[1]安徽省淮南市第四人民医院,232052

出　　处：《实用全科医学》2005年第2期124-125,共2页Applied Journal Of General Practice

摘　　要：目的探讨颅脑创伤后各种精神障碍表现形式及影响因素。方法颅脑创伤后各种精神障碍388例,外伤后6个月-1年内,由3名精神科医师根据中国精神疾病分类方案与诊断标准进行评估。结果脑干损伤、颅内血肿、格拉斯高昏迷评分(GCS)、脑损伤范围、昏迷时间与智力障碍,精神病性症状及人格改变关系密切。结论颅脑创伤所致精神障碍的鉴定应结合颅脑创伤的性质,全面评估其精神状态。Objective To research the prevalence rate, manifestation and their related factors of mental disorder due to traumatic brain injuries. Methods The mental disorder of 388 cases with traumatic brain injury from 6 months to 1 year were assessed by three psychopathists based on CCMD - 2 - R. Results The intellectual disorder, neurotic symptom, psychotic symptom and personality change related well to brain stem injury, intracranial hematoma, GCS, injury area and duration of ex-animation. Conclusions The mental situation of patients should be assessed roundly in consideration of the character of brain injuries in the appraise for mental disorder due to traumatic brain injuries We must assess over- all them.

关 键 词：颅脑创伤 精神障碍 智力障碍 精神状态 

分 类 号：R651.15[医药卫生—外科学] R749[医药卫生—临床医学]