颅脑外伤所致精神障碍临床特点分析  

Analysis of clinical characteristics of mental disorders caused by craniocerebral trauma

作　　者：刘志军[1] 耿亚东 张鹏[1] 陈小兵[1] 刘红林[1] LIU Zhijun;GENG Yadong;ZHANG Peng;CHEN Xiaobing;LIU Honglin(Huaihe Hospital of Henan University,Kaifeng 475000,China)

机构地区：[1]河南大学淮河医院,河南开封475000

出　　处：《中国实用神经疾病杂志》2023年第11期1395-1398,共4页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学科技攻关计划(联合共建)项目(编号:LHGJ20190537)。

摘　　要：目的分析颅脑外伤所致精神障碍患者的临床特点,以期为临床诊疗提供帮助。方法通过电子病历系统获取2020-01—2023-01河南大学淮河医院收治的59例颅脑外伤所致精神障碍患者的临床资料并进行分析。结果59例患者中智能改变29例(49.2%),情感障碍11例(18.6%),人格改变9例(15.3%),精神病性症状8例(13.6%),神经症样综合征2例(3.4%)。颅脑损伤类型中脑挫伤占79.7%(47例),颅内出血占13.6%(8例),硬膜外血肿占1.7%(1例),颅骨骨折占5.1%(3例)。额颞叶损伤是颅脑外伤所致精神障碍的最常见类型。结论颅脑外伤可继发精神障碍,颅脑外伤的类型、部位与继发的精神障碍类型相关。Objective By analyzing the clinical characteristics of patients with mental disorders caused by traumatic brain injury,we aim to provide assistance for clinical diagnosis and treatment.Methods The clinical data of 59 patients with mental disorders caused by craniocerebral trauma admitted to Huaihe Hospital of Henan University from January 2020 to January 2023 were obtained through the electronic medical record system and were analyzed.Results Among 59 patients,29(49.2%)had intelligence change,11(18.6%)had affective disorder,9(15.3%)had personality change,8(13.6%)had psychotic symptoms,and 2(3.4%)had neurosis like syndrome.Among the types of brain injury,brain contusion accounted for 79.7%(47 cases),intracranial hemorrhage 13.6%(8 cases),epidural hematoma 1.7%(1 case),and skull fracture 5.1%(3 cases).Frontotemporal lobe injury is the most common site of mental disorders caused by traumatic brain injury.Conclusion Brain injury can lead to secondary mental disorders,and the type and location of brain injury are related to the type of secondary mental disorder.

关 键 词：颅脑外伤 精神障碍 临床特点 智能 情感 

分 类 号：R651.15[医药卫生—外科学]