流浪疑似精神障碍患者入院初期常规检查结果分析  

The analysis of routine examination results in the initial hospitalization of suspected mental disorder tramps

作　　者：巫珺 谢帆 费慧 傅静 

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《国际精神病学杂志》2017年第6期1035-1037,共3页Journal Of International Psychiatry

基　　金：上海市精神卫生中心院级课题(编号:2016-YJ-13)

摘　　要：目的分析流浪疑似精神障碍患者入院初期常规检查结果,为这类特殊人群的诊断及治疗提供参考依据。方法 2015年7月~2016年3月,回顾性统计分析上海市救助站送住我院的疑似精神障碍患者入院初期的常规检查结果。结果共收治患者101例,男性74例,女性27例;诊断为精神分裂症及急性精神分裂症样精神病性障碍的患者最多,66例(65%);心电图(ECG)明显异常者51例(50%),低钾血症者41例(41%),白细胞总数和(或)中性粒细胞比例高于正常值上限者57例(56%),糖尿病6例(6%),高血压1例(1%),猝死1例(1%)。结论由于流浪社会的特殊性,这些患者易合并躯体疾病,常规检查结果异常率高,精神专科医院收治后完善相关检查尤为重要。Objective To analyze routine examination results in the initial hospitalization of suspected mental disorder tramps,so as to provide reference of diagnosis and treatment for them.Methods To retrospective analyze routine examination results in the initial hospitalization of suspected mental disorder tramps who were sent to our hospital by Shanghai Rescue Station from July 2015 to March 2016.Results There are totally 101 tramps,74 males and 27 females included.66 cases（65%）were diagnosed as schizophrenia and acute schizophrenia mentally-disturbed obstacles.51 cases（50%）were diagnosed as ECG abnormal and 41 cases（41%）were diagnosed as hypokalemia.57 cases（56%）were found that the white blood cells and/or neutrophil granulocytes were higher than upper limit of normal value.6 cases（6%）were diagnosed as diabetes,1 case（1%）was diagnosed as high-pressure and 1 case（1%）was sudden death.Conclusion Due to special social conditions,the majority of patients combined with physical diseases and have higher abnormal rate of routine examination.It is important that mental health hospital complete the routine examinations of suspected mental disorder tramps before treatment.

关 键 词：流浪 精神障碍 入院初期 常规检查 

分 类 号：R749.99[医药卫生—神经病学与精神病学]