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ID:57972974
大小:1.15 MB
页数:46页
时间:2020-09-04
《器质性精神障碍(英文).ppt》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、精神病学OrganicMentalDisordersduetoBrainDiseasesProf.ZOUDing-huiIntroduction---DefinitionOrganicMentalDisorders:Thetermisusedtodenotepsychiatricdisordersthatarisefromdemonstrablebiologicaletiology.Itincludesbrainorganicmentaldisorderandmentaldisordercausedbyphysic
2、aldiseases.Introduction—ClassificationA.MentalDisordersduetoBrainDiseasesB.MentalDisordersduetoPhysicalDiseasesMentalDisordersduetoBrainDiseasesDegenerativebraindiseasesCerebro-vasculardiseasesIntracranialinfectionBraindamageMalignanciesofCNSMentalDisordersdue
3、toBrainDiseasesFeature:thereisdemonstrablestructuralandpathologicchangeinthebrain.Thepsychiatricdisordersarisefromthesechanges.MentalDisordersduetoPhysicalDiseasesMentaldisordersarisefrombraindysfunctionwhichisclearlycausedbydiseaseoutsidethebrain.MentalDisord
4、ersduetoPhysicalDiseasesFeature:braindysfunction,showssomeatypicallypathologicalchangesuchascongestion,dropsy,etc.Mentaldisordersisoneofsymptomsofphysicaldiseases.HistoricalbackgroundPasthistory:Kraepelinshowedthatthedifferentphysiologicalcausescontributetothe
5、specificityclinicalmanifestation.Bonhoeffershowedthatphysiologicalcausesofanykindcontributetoafewsyndromesofcommonclinicalcharacteristics.HistoricalbackgroundPresenthistory:Thecorrespondencebetweenbiologicaletiologyandclinicalfeaturesisambiguous,whichmeansthat
6、thedifferentphysiologicalcausescontributetothesimilarclinicalmanifestation,anddifferentmanifestationsmayresultfromthesamecauses.Aspectofdiferentialdiagnosis1.Itiswhetherthesyndromeisacuteorchronic.2.Itiswhethertheimpairmentofpsychologicalfunctionisgeneralorloc
7、al.3.Itiswhethertheunderlyingdysfunctionofthebrainisgeneralorlocal.4.ConstitutionAgePreviousexperiencePersonality.Acutegeneralizedpsychologicalimpairment------DeliriumChronicgeneralizedpsychologicalimpairment----DementiaSpecificpsychologicalimpairment----impai
8、rmentofmemory,thinking,perception,personality,ormood.AspectofdiferentialdiagnosisDiagnosesoforganicmentaldisordersMethodofdiagnosis:1)Tocollectclinicaldataobjectivelyandaccuratelyb
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