Clinical Study of Psychotic Disorder after Gravis Type of Craniocerebral Injury_West China Medical Journal

Authors：

XIN Quan ,  ZHANG Xinyu.

the Department of Neurosurgery, the Second People’s Hospital of Chengdu, Chengdu 610017, China;

Corresponding author：

ZHANG Xinyu., Email: cqxy2006@126.com

Keywords：

颅脑损伤; 精神障碍

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

摘要:目的:探讨重型颅脑损伤后早期精神障碍临床特征及治疗方法,以提高患者的生活质量。方法:对我院48例重型颅脑损伤后早期精神障碍患者进行回顾性分析,观察精神障碍出现的时间、精神障碍的类型及预后及颅脑损伤的部位与精神障碍的关系。结果:重型颅脑损伤后精神障碍主要出现在伤后3周内,多继发于颞叶损伤,其次为额叶。临床上主要有躁狂型、抑郁型、痴呆型、精神分裂性等四型,其中以躁狂型为多见。通过治疗后, lt;1个月精神症状痊愈25例、 lt;2个月痊愈13例、治疗 gt;2个月仍有精神症状10例。结论:颅脑损伤后精神障碍在原发脑损伤的有效治疗前提下,辅以抗精神障碍药物治疗、心理治疗及高压氧治疗等可取得较好疗效。

Citation： XIN Quan,ZHANG Xinyu.. Clinical Study of Psychotic Disorder after Gravis Type of Craniocerebral Injury. West China Medical Journal, 2009, 24(10): 2501-2503. doi: Copy

1.	FUJII D, AHMED I, HISHINUMA E. A neuropsychological comparison of psychotic disorder following traumatic brain injury, traumatic brain injury without psychotic disorder, and schizophrenia[J]. J Neuropsychiatry Clin Neurosci,2004,6(3):06-14.
2.	中华医学会.临床诊疗指南:神经外科学分册[M].北京:人民卫生出版社.2006: 26-27.
3.	FUJII D, AHMED I. Characteristics of psychotic disorder due to traumatic brain injury: an analysis of case studies in the literature[J]. J Neuropsychiatry Clin Neurosci,2002,14(2):130-140.
4.	KIM E, LAUTERBACH E C, REEVE A. Neuropsychiatric complications of traumatic brain injury: a critical review of the literature (a report by the ANPA Committee on Research)[J]. J Neuropsychiatry Clin Neurosci,2007,19(2):106-127.
5.	FANN J R, BURINGTON B, LEONETTI A, et al. Psychiatric illness following traumatic brain injury in an adult health maintenance organization population[J]. Arch Gen Psychiatry,2004,(1):53-61.
6.	FUJII D, AHMED I. Risk factors in psychosis secondary to traumatic brain injury[J]. J Neuropsychiatry Clin Neurosci,2001,13(1):61-69.
7.	赖婉玲,李晓燕,赖子建.高压氧辅助治疗颅脑损伤并发精神障碍40例[J].中国临床康复,2004,8(22):4557.
8.	KOPONEN S, TAIMINEN T, PORTIN R, et al. Axis Ⅰ and Ⅱ psychiatric disorders after traumatic brain injury: a 30year followup study[J]. Am J Psychiatry,2002,159(8):13151321.

1. FUJII D, AHMED I, HISHINUMA E. A neuropsychological comparison of psychotic disorder following traumatic brain injury, traumatic brain injury without psychotic disorder, and schizophrenia[J]. J Neuropsychiatry Clin Neurosci,2004,6(3):06-14.
2. 中华医学会.临床诊疗指南:神经外科学分册[M].北京:人民卫生出版社.2006: 26-27.
3. FUJII D, AHMED I. Characteristics of psychotic disorder due to traumatic brain injury: an analysis of case studies in the literature[J]. J Neuropsychiatry Clin Neurosci,2002,14(2):130-140.
4. KIM E, LAUTERBACH E C, REEVE A. Neuropsychiatric complications of traumatic brain injury: a critical review of the literature (a report by the ANPA Committee on Research)[J]. J Neuropsychiatry Clin Neurosci,2007,19(2):106-127.
5. FANN J R, BURINGTON B, LEONETTI A, et al. Psychiatric illness following traumatic brain injury in an adult health maintenance organization population[J]. Arch Gen Psychiatry,2004,(1):53-61.
6. FUJII D, AHMED I. Risk factors in psychosis secondary to traumatic brain injury[J]. J Neuropsychiatry Clin Neurosci,2001,13(1):61-69.
7. 赖婉玲,李晓燕,赖子建.高压氧辅助治疗颅脑损伤并发精神障碍40例[J].中国临床康复,2004,8(22):4557.
8. KOPONEN S, TAIMINEN T, PORTIN R, et al. Axis Ⅰ and Ⅱ psychiatric disorders after traumatic brain injury: a 30year followup study[J]. Am J Psychiatry,2002,159(8):13151321.

West China Medical Journal

Clinical Study of Psychotic Disorder after Gravis Type of Craniocerebral Injury

Abstract Full text Figures/Tables Video References Cited by

Format

Content