重性精神病患者入院初期处置分析  

Re-admission in patients with early psychosis disposal analysis

作　　者：李田妹 刘哲宁[2] 柯峥 颜成裕 吴斌 冼怀柏 

机构地区：[1]广东省湛江市第三人民医院,湛江524012 [2]中南大学附属湘雅二医院 [3]湛江市计划生育服务中心

出　　处：《国际精神病学杂志》2015年第1期32-34,共3页Journal Of International Psychiatry

摘　　要：目的统计分析重性精神疾病患者入院初期的躯体情况及治疗情况,减少医疗风险。方法抽取本院2012年全院符合重性精神疾病诊断住院病历1886份,统计分析其入院初期的电解质、心电图及用药情况。结果 1886例中出现低血钾者441例,占23.4%;低血钠者123例,占6.5%;低血氯者262例,占13.9%;低血钙者42例,占2.24%。心电图异常793例,占42.05%,其中T波改变254例,占13.5%。入院时应用药物处置1781例,占94.43%,其中应用氯丙嗪509例,占26.98%;氯硝西泮748例,占39.67%;氟哌啶醇60例,占3.18%,舒必利45例,占2.39%;这些急性处置的患者中,需中断药物治疗应急救治者14例,占0.74%。结论重性精神疾病患者入院时电解质及心电图异常发生率高,入院时应急处置应慎重。Objective Statistical analysis of the situation of physical treatment of patients hospitalized early severe mental illness and reduce health risks. Methods Extraction hospital in 2012 in line with the hospital diagnosis of severe mental illness 1886 copies of medical records,statistical analysis of their initial admission electrolytes,electrocardiogram and drug use. Results Hyponatremia were 123 cases,accounting for 6. 5%; low blood chloride were 262 cases,accounting for 13. 9%; hypokalemia were 441 cases occurred in 1886 cases,accounting for 23. 4% of hypocalcemia in 42 cases,accounting for 2. 24 percent. 。ECG abnormalities 793 cases,accounting for 42. 05%,of which 254 cases of T wave changes,accounting for 13. 5%. Application of drug disposition admission 1781 cases,accounting for94. 43%,of which 509 cases of the application of chlorpromazine,accounting for 26. 98%; clonazepam 748 cases,accounting for 39. 67%; haloperidol 60 cases,accounting for 3. 18%,sulpiride 45 cases,accounting for 2. 39%; Emergency medication needed to treat 14 cases,accounting for 0. 74%. Conclusion Electrolytes and ECG abnormalities occurred in patients with severe mental illness hospitalization rate,should be careful when emergency admission.

关 键 词：重性精神疾病 初期处置 电解质 心电图 

分 类 号：R749[医药卫生—神经病学与精神病学]