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神經衰弱門診簡介

日期:2021-10-18點擊:

神經心理障礙(神經衰弱)患者多伴有全身癥狀或多個系統植物神經功能失調癥狀,大多會以不同軀體不適主訴出現在綜合醫院不同臨床科室。如就診神經科患者常主訴頭痛、頭暈、睡眠障礙、疲倦、無力、感覺異常、震顫等;就診心血管科患者常表現為心慌、胸悶、胸痛、血壓升高、心律失?;蚣毙园l作性心悸、胸悶、呼吸困難、大汗、強烈的恐懼感、瀕死感等,常被誤診為冠心病急性發作;就診消化科患者常表現為上腹疼痛、飽脹、惡心、反酸、消化不良、腹瀉等?;颊叽蠖嚓P注其軀體癥狀所致的痛苦及其不良后果,一般并不主動訴及情緒體驗。慢性軀體疾病、慢性疼痛、有心理社會事件者、圍絕經期女性等更容易出現此類癥狀。

此類患者往往合并有情感癥狀,如緊張、擔心、害怕、情緒低落、快樂感缺失等情感癥狀,但情感癥狀往往被軀體癥狀掩蓋,難以引起重視。綜合醫院醫生常常不能正確識別處理,造成患者病情遷延,輾轉各處就診,大量消耗醫療資源,損害社會功能。此類病患也常常診斷為焦慮、抑郁與軀體化癥狀。運用有效手段進行干預成為綜合醫院醫生必須面對和迫切需要解決的問題。長安醫院神經內科能熟練掌握該類病患的診療技巧,為患者重返健康、恢復社會功能助力。

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