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1、流浪精神病人诊治与救助探讨欧阳艾莅王宝安高斌梅富伟（陕西中医学院中西医临床医学院陕西咸阳712046）[摘要】近10年来，随着我国经济的快速发展，城市对劳动力需求日益增多，农民工大规模进城务工，流动人口巨增，城市中的流浪精神病人越来越多。他们大都在街头流浪、露宿，有的还打砸伤人毁物，给城市的管理和社会稳定带来了一定的困难和危害。与此同时,许多地方政府把市容市貌作为城市改革开放和招商引资的硬件条件，而流浪在大街小巷的精神病人无疑成为了描绘各级卫牛先进城市蓝图上的不和谐图标。流浪精神病人的特殊性（他们大多无民事行为能力，对自己的病情无自知力，无法正确表达自己的意愿，无法表述
2、自己的真实身份，无法讲清家庭住址）使得救助的难度更大。流浪精神病人是一个较危险的人群，也是最需要社会关心和救助的对象。宝鸡市康复医院承担着宝鸡城乡流浪精神病人的收治任务。笔者结合近半年的临床观察实践，对城市流浪精神病人医疗救助和管理中面临的一些问题进行探讨。【关键词】流浪精神病人;救助与管理RoamsaboutthementalpatientdiagnosisandtherescuediscussionOuYangailiWangBaoanGaoBinMeiFuwei[Abstract]Intherecent10years,alongwithourcountryecon
3、omy'sfastdevelopment,thecityincreasedaybydaytothelaborforcedemand,thepeasantlaborerentersacitytoworkmassively,thetransientpopulationincreasesgreatly,inthecityroamsaboutthementalpatienttobegettingmoreandmore.Theyroamaboutmostlyinthestreetcorner,sleepoutside,somealsohitcrushesandinjuresthe
4、humantodestroythething,hasbroughtcertaindifficultyandtheharmfortheurbanmanagementandthesocialstability.Meanwhile,manyLocalauthoritiestakethecity'sappearaneecityappearaneetheurbanreformopeningandtheattractinginvestmentshardwarecondition,butroamsabout,inmainstreetandsmallalley'smentaipatie
5、nthasbecomeonthedescriptionalllevelsofhealthadvaneedcityblueprintnotharmoniousiconwithoutdoubt.Roamsaboutmentalpatient'sparticularity(theirmostlynotcivilcapacity,toownconditionnon-self-awarenessstrength,isunabletoexpressownwishcorrectly,isunabletoindicateownrealstatus,isunabletoexplainth
6、atfamilyaddress)causestherescuethedifficultytobebigger.Roamsaboutthementalpatientisadangerouscrowd,isalsomostneedsthesocialcareandtherescueobject.TheBaojiRecoveryHospitalundertakestheBaojicityandcountrysidetoroamaboutmentalpatient'sadmittingduty.Theauthorunifiesnearahalfyearclinicalobser
7、vationpractice,roamsaboutsomequestionswhichtothecityinthementalpatientmedicalservicerescueandthemanagementfacestocarryonthediscussion.【Keywords]Roamsaboutthementaipatient;Rescueandmanagement【中图分类号】R749【文献标识码】A【文章编号】1007-8231(2011)04-0098-02我们对全院近三年收住的74个流浪精神疾病患者的情况进行了深度的调
