论文部分内容阅读
周期性精神障碍与月经周期关系密切。一般这种障碍恰好始于月经前或行经同时。曾有人以睾丸酮、氯化铵和限制盐类饮食来治疗患者的高雌激素周期性精神病。如果月经性精神病与性固醇类激素波动水平有关,那么单独服用避孕药便可防再发。病例:21岁未婚妇女,精神病发作始于14岁,即月经初潮后1年。17岁因精神病入院,当时诊断为躁郁症,服用碳酸锂无效,月经和精神病持续1月。为调整月经周期服避孕药6个月,在此期间未发作精神失常。本次入院前有1次正常月经,但在行经期出现失眠、厌食和体重减轻,并有精神症状。入院后体检正常,精神亦平静。口服冬眠灵900mg/日。血清T_3、T_4正常,颅骨像、EEG、超声波均无所见。入院后第十五天来月经,开始表现激动、好争吵、失眠;有思维分离、妄想和自毁
Cyclical mental disorders and the menstrual cycle are closely related. This disorder usually happens just before or during menstruation. There have been people with testosterone, ammonium chloride and salt diet to treat patients with high estrogen periodic psychosis. If menstrual psychosis is associated with fluctuations in steroid hormones, taking birth control pills alone will prevent recurrence. Case: 21-year-old unmarried women, mental illness began at 14 years, that is, 1 year after menarche. 17-year-old hospitalized for mental illness, was diagnosed with bipolar disorder, taking lithium carbonate invalid, menstrual and mental illness continued in January. To adjust the menstrual cycle of contraceptives for 6 months, during which no episodes of mental disorders. The hospital before a normal menstruation, but during menstruation insomnia, anorexia and weight loss, and mental symptoms. Physical examination after admission, the spirit is calm. Oral hypnosis 900mg / day. Serum T_3, T_4 normal, skull, EEG, ultrasound were seen. 15 days after admission to menstruation, began to show excitement, quarrelsome, insomnia; separation of thinking, delusion and self-destruction