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精神科住院病人10年猝死情况分析

Sudden death in hospitalized patients with mental disorders during 10 years

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【作者】 谢帆; 王定省; 宋立升;

【Author】 Xie Fan. Wang Dingx-ing, Song Lishen, Shanghai Mental Health Center, Shanghai 201108

【机构】 上海市精神卫生中心分部; 上海市精神卫生中心分部 201108; 201108;

【摘要】 目的 了解精神科住院病人猝死特点,以便降低住院精神病人猝死发生率。方法 回顾性调查住院期间猝死病人的病史,并进行均数及发生率统计分析。结果 10年间猝死病人共有52例,猝死率为0.7%,男性和新入院者较多,秋冬季、4:00-8:00时间段为猝死高峰期,猝死者中96.15%伴有躯体疾病,服用氯氮平、氯丙嗪、奋乃静者在猝死病人中占较高比例,且合用药物者较多。结论 精神科猝死病人中伴有躯体疾病者较多,对此类患者使用精神药物时应格外小心。

【Abstract】 Objectives: To understand the characteristics of psychiatric in-patients’ sudden death. Method: All charts of in-patients who died suddenly during 1991. 1.1-2000. 12. 31 in Shanghai Mental Health Center were reviewed, and data were recruited. Results: The total number of sudden death during the 10 years were 52 and the sudden death rate was 0.7%, most of them were male and new-admitted, 96. 15% also had physical diseases, autumn and winter, 4: 00-8: 00 am were the peak time of sudden death, most of their antipsychotic therapy were combination therapy, clozapine, chlorpromazine and per-phenazine were often used in these patients. Conclusion: Most of the sudden death patients in psychiatric hospital had physical diseases, antipsychiatric drugs should be used carefully in those patients.

【关键词】 住院精神病人; 猝死;
【Key words】 Psychiatric in-patients Sudden death;
  • 【文献出处】 上海精神医学 ,Shanghai Archives of Psychiatry , 编辑部邮箱 ,2002年02期
  • 【分类号】R749
  • 【被引频次】28
  • 【下载频次】127
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