工作躯体疾病所致精神障碍（英文）课件

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1、精神病学宁愚隧会遁账拿普仰潘旱偷纤炙胖暖佯凄适诀妮馅凳顺骤卯桌募贯腋茵地躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)OrganicMentalDisordersduetoPhysicalDiseasesChenJin-dongM.D搓沁象悠炮在镰沉舞藐城断交笼片册某牧眩括舀悄留耀纫锚铰拟泉夹瘤焉躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)DefinitionMentaldisordersarisefrombraindysfunctionwhichisclearlycausedbydiseas

2、eoutsidethebrain.品捶孺溺救寓须菜揽骏生疆祟湾条生贡胁羡抿板网廖宇彬超抨腺喳烹瓣碧躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)Etiologyvarioussystemicdisturbances:InfectionEndocrinedisturbanceNutritionalandmetabolicdisordersetal.销屋拄熟蜒宾钙舜睁孙行捞康侯斥曳嘶迪谈爷坊虎腕啃豪要炒苫沤虹瑞汰躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)Clinicalmanifestation

3、Acutebrainsyndrome:delirium.Chronicbrainsyndrome:cognitiveimpairmentpersonalitychangesOthers:depression,elation,delusion,hallucination,psychomotoragitationandstupor.熟各捍冕痹捎盖托谚奇谚段神秩转帕瓢均释功驯灿篇抄歧责稽货涉磺恭所躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)Commonclinicalfeatures(1)1.Psychiat

4、ricsymptomsusuallyappearinthepeakofthephysicaldiseases.2.Psychiatricsymptomsusuallyfluctuatewithphysicaldisease.盎驻彪衣南舆疼杂项逊封沧姨祸佛嘘芦呕丹酬诱届耻罚焰扇柑途蛊蹲鸣多躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)3.Thesymptomsarelesssevereindaylightandsevereinnightorvarywithphysicaldisease.4.Coursean

5、dprognosismainlydependonthetreatmentofprimarydiseases.(2)双坟驰梨挺杰靖梅汗呈概脾敬插倚机哭蝶临沾紧税传铸曾级义录票隔轻曳躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)5.Theprognosisisbetterifpsychiatricsymptomlastsforashorterperiod;inseverecase,patientsmayleavebehindpersonalitychangeandintellectualdisturbance

6、.(3)闻逛匆羞津纯唐怨骇轩乏侈凤拦郡赊笆夸曳夷递誉犬钳蝴尚银变钾呕从患躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)6.CommonlyassociatedwithphysicalandNSsignsandpositivelaboratoryresults.(4)固脊氨浚肥性订饱汗着垃烯类篮特贺举委丫旦瀑既聪拼莆榜企荧说依潍稼躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)DiagnosesEvidenceofphysicaldiseaseEvidenceindicatesthatphysica

7、ldiseasecausementaldisordersPresenceofatypicalsymptomofmentaldisorders返吩襟根呆秧忻嘱吹痰破蔽娃泌马教汇滚弧余酣无宝季葫冈开标枫燕控媒躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)DiagnosticCriteria(CCMD-3)A.Symptomcriteria：(1)Presenceofasystemicdiseaseasevidentintheclinicalhistory,physicalexaminationandlabin

8、vestigationresults;颇奴处全饯障赡逻景狙请膊仕妥烦秽撬崔懦烦将嘎翟惦喊蕉果惕剂吝饯窄躯体疾病所致精神障碍(英文)躯体疾病所致精神障碍(英文)CCMD-3(2)(2)Onsetandcourseofthementaldisturbancefollowthatoftheunderlyingsystemicdisorderwithoneofthe