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2024年7月20日发(作者:)
Amnesic syndrome is characterized by a prominent disorder of recent
memory in absence of generalized intellectual impairment. This clinical features of
amnesic syndrome include recent memory severely impaired, remote memory
spared, disorientation in time, confabulation, other cognitive functions preserved.
Delusion is a belief that is firmly held on inadequate grounds, is not affected
by rational argument or evidence to the contrary , and is not a conventional belief
that the person might be expected to hold given his educational and cultural
background.
Delirium: a kind of disturbances of consciousness. Acute confusional state is
an organically- caused decline of consciousness level, like brain organic disorder,
infected, brains injury or severe unbalance of electrolyte. It involves other
cognitive deficits, disturbances of behavior, perceptual deficits, altered sleep-wake
cycle, and psychotic features such as hallucinations and symptom is
light in the daytime and severe at night.
Dementia: is a kind of severe and continuous cognitive disorders. the
syndrome are characterized by generalized impairment of intellect, memory, and
personality, with no impairment of common causes are
alzheimer. The onset is gradual mostly and the course is long, so it is also called
chronic brain syndrome.
Hallucination:is a perception experienced in the absence of an external
stimulus to the corresponding sense organ. Pseudohallucination: no external
stimuli, an involuntary and no vivid enough sensory experience forms in the
subjects.
illusion:is a misperception of an external stimulus, an illusion describes a
misinterpretation of a true sensation. For example, hearing voices regardless of the
environment would be a hallucination, whereas hearing voices in the sound of
running water (or other auditory source) would be an illusion.
Ganser syndrome is a rare dissociative disorder previously. It is characterized
by nonsensical or wrong answers to questions which can be understanded, which
seems like to be deliberate. Other dissociative symptoms such as fugue, amnesia
or conversion disorder, disorientation in time and space.
Obsession: recurrent thoughts, a idea or impulsion. Though the patients know
these are wrong, unnecessary, unreasonable, they cannot overcome and
disencumber. Symptoms include obsessional thoughts, ruminations, doubts ,
impulses or will, reminiscence, ect.
Stupor is the lack of critical cognitive function and a level of consciousness
wherein a sufferer is almost entirely unresponsive to stimuli. A person is also rigid
and mute, urinary and stool retention and only like to be conscious as the eyes are
open and follow surrounding objects.
Schizophrenia comprises a group of psychotic disorders of unknown specific
etiology often presented with a gradual onset of abnormalities in perception,
thought, motion and behavior since young adulthood. Consciousness is usually
maintained. Intelligence is intact, there is some degree of cognitive impairment.
The natural course of the disorder is chronic remitting but sometimes
deteriorating.
4A症状:Association disorder(联想障碍)Affective blunting (apathy)情感迟钝
Ambivalence(矛盾观念)Autism(内向性)Schneider一级症状:Audible thoughts
(思维化声)Voices arguing or discussing(争论性幻听)Voices commenting(评论
性幻听)Somatic passivity experiences(躯体被动体验)affect passivity experiences
(情感被动体验)Thought withdrawal (思维被夺)Thought insertion(思维插入)
Thought broadcasting or diffusion(思维被广播或扩散)Delusional perceptions(妄
想性知觉)made volition, made affect, and made impulses(被强加的意志、情感、冲
动)
ECT适应症: 严重抑郁,有强烈自伤、自杀企图及行为者,以及明显自责自罪者(最
佳适应症:高自杀危险、抑郁性木僵);极度兴奋躁动冲动伤人者(当严重躁狂发作而药
物治疗见效慢或疗效不佳时,应首选ECT); 拒食、违拗和紧张性木僵者;精神药物治疗
无效或对药物治疗不能耐受者
EPS:急性肌张力障碍:扭转痉挛,动眼危象,角弓反张,肌注东莨菪碱0.3mg;静坐不能:不
宁腿,伴明显焦虑,想死;安坦2-4mg/天;类帕金森综合征:震颤,肌张力增高,运动减
少;安坦2-4mg/天;迟发性运动障碍(TD):不自主节律运动、舞蹈样动作,
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