第1期·调查分析·综合医院邀请精神科紧急会诊资料分析张燕,陈江玲,张俊龙(新疆生产建设兵团第二师焉耆医院精神心理科新疆焉耆841100)摘要:目的分析综合医院邀请精神科紧急会诊临床特点。方法选取2020年1月-2021年6月在第二师焉耆医院就诊的40例申请精神科紧急会诊的患者,对其精神诊断、科室来源、会诊原因、具体表现、会诊过程、处理意见、疗效评价的指标进行分析。结果40例急会诊患者的诊断:惊恐发作13例(32.5%),谵妄12例(30%),自杀行为或自杀意念9例(22.5%),酒精戒断4例(10%),药物所致精神障碍2例(5%);科室主要以急诊科、消化肿瘤科为主(22例,占55%);会诊的原因:情绪问题13例(32.5%),幻觉、妄想、行为紊乱12(30%),过量服用精神类药物8例(22.5%),药物所致精神症状2例(5%),自杀风险评估1例(2.5%)。结论惊恐发作、谵妄、自杀行为或自杀意念、戒断综合征等是精神科常见紧急状态,在临床工作中带有迫切性;紧急会诊对会诊医师提出了更高的要求;重视对紧急会诊患者的随访工作。关键词:综合医院;精神科;紧急会诊中图分类号:R74文献标识码:A文章编号:1001—5183(2023)01—75—04AnalysisofEmergencyConsultationDataofPsychiatricDepartmentInvitedbyGeneralHospitalZHANGYan,CHENJiangling,ZHANGJunlong(DepartmentofMentalpsychological,YanqiHospitaloftheSecondDivisionofXinjiangProductionandConstructionCorps,Yanqi,Xinjiang,841100,China)Abstract:ObjectiveToanalyzetheclinicalcharacteristicsofemergencyconsultationswithpsychiatricdepartmentsingeneralhospitals.Methods40patientswhoappliedforemergencypsychiatricconsultationinYanqiHospitaloftheSecondDivisionfromJanuary2020toJune2021wereselectedtoanalyzetheindicatorsofmentaldiagnosis,sourceofdepartments,reasonforconsultation,specificmanifestations,consultationprocess,treatmentopinions,andefficacyevaluation.ResultsDiagnosisof40emergencyconsultationpatients:13casesofpanicattack(32.5%),12casesofdelirium(30%),9casesofsuicidalbehaviororsuicidalideation(22.5%),4casesofalcoholwithdrawal(10%),causedbydrugs2casesofmentaldisorders(5%);Departmentsweremainlyemergencydepartmentanddigestiveoncologydepartment(22cases,55%);Reasonsforconsultation:13casesofemotionalproble...