Clinical study of acute abdomen in patients with mental illness.docVIP

 PAGE \* MERGEFORMAT 9 Clinical study of acute abdomen in patients with mental illness [Abstract] Objective To investigate the clinical features of acute abdomen in patients with mental illness and raise the efficacy measures. Methods 86 cases of acute abdomen in mentally ill retrospective case analysis. Results 86 cases of acute abdomen in psychiatric patients, surgery 62 cases; 24 cases of non-surgical; died six cases; 48 cases of abdominal puncture, diagnostic paracentesis positive rate of 91.7%. Conclusion easy to delays in diagnosis and treatment of psychiatric patients with acute abdomen, complications and more abdominal puncture, early diagnosis and timely surgery is to improve the efficacy of the key. [Keywords:] with mental illness; abdomen; abdominal puncture; measures Mental illness is not uncommon in patients with clinical acute abdomen. Belonging to special groups because of mental illness, often dominated by psychiatric symptoms, their thinking and behavior are being paranoid hallucinations. Taking psychiatric drugs, so that they do not feel sensitive, unresponsive, and even up to ‘callous’ level. The lack of insight in psychiatric patients can not take the initiative to correct account of illness, with clinical examination and treatment, so easy to delayed treatment, the emergence of various complications. In our hospital from February 1980 ~ October 2005 psychiatric patients were treated 86 cases of acute abdomen is reported as follows. A clinical data 1.1 General information on this group of 86 cases, male 52 cases, female 34 cases; age from 14 to 62 years, an average of 38 years. 1.2 clinical manifestations of this group, 61 patients without obvious discomfort complained. Private prosecution abdominal pain, abdominal distention in 17 cases, 21 cases of fever, jaundice in 6 cases. 34 cases of abdominal tenderness, abdominal muscle tension in 38 cases, the limitations of abdominal mass in 6 cases. Lung liver dullness sector disap