The utility of psychiatric emergency

Date of publication:2008-5   Press: Military Medical Science Press   Author:Liu Zenglong, Chu Yaohui, Li Jiaxun   Pages´╝Ü437  

"Practical psychiatric emergency" from our country actual situation of primary psychiatric hospital. Reference to domestic and foreign new materials, new technology to compile. The book is divided into thirteen chapters, diagnosis and treatment of common symptoms include important psychiatry, psychiatric clinical commonly used first-aid techniques, a common psychiatric emergency, serious side effects of psychotropic drugs, circulatory system diseases, respiratory system diseases, digestive system diseases, urinary system diseases, surgical emergency, ENT diseases, endocrine and metabolism emergency, emergency and acute poisoning the nervous system. The most common psychiatric emergency each chapter, and in psychiatry, encountered most often written clinical case. The main disease and cause various diseases in the diagnosis of outline, discussed basic characteristics, clinical evaluation of clinical diagnosis and risk of important diagnostic value, and the auxiliary examination, detailed introduces the treatment methods (including the application of drugs and related technical operations).
Author brief introduction

Liu Zenglong, male, Hebei Province Mental Health Center, Hebei Sixth People's Hospital, deputy director of psychiatrists. Published academic papers, published in "Hebei mental health" (analysis of causes of drug stopped in 124 cases with schizophrenia), "Journal of Hebei Medical College (Paroxetine Combined" analysis of furazolidone induced 5- serotonin syndrome: report of one case, 44 cases of drug related factors), "Chinese medical science" (emotional behavior disorders of 40 patients with acute myocardial infarction after investigation, schizophrenic patients with executive function and defense mechanisms, mianserin and venlafaxine in the treatment of depression: a controlled study, Shu Si and risperidone in the treatment of schizophrenia research), "one department of internal medicine examination problem set". The "research" executive function and defense mechanism in patients with schizophrenia was awarded the first prize for "in 2006 in Baoding City, the progress of science and technology".
Catalogue of books

The first chapter psychiatric clinical common emergency first acute fever second day third day fourth day coma shock acute abdominal pain in fifth day sixth day seventh day of acute chest pain headache vertigo syncope eighth day ninth day tenth day eleventh with acute dyspnea vomiting in twelfth day festival edema in thirteenth acute urinary retention in fourteenth day oliguria or anuria fifteenth cardiac arrest cardiac arrest and cardiopulmonary resuscitation of sixteenth section water electrolyte and acid-base balance of the second chapter psychiatric clinical commonly used first-aid techniques first establish vein channel second oxygen therapy in section third section fourth tracheostomy endotracheal intubation mechanical ventilation in section sixth, section fifth and section seventh catheter indwelling catheterization debridement hemostasis, bandaging, fixing section eighth, handling operation third chapter psychiatric common emergency first excited state second delirium condition third depression fourth stuporous state section fifth mute sixth acute hallucinatory state section seventh acute delusional state section eighth acute dementia ninth panic attack tenth Dutch Act section eleventh and section twelfth impulsive violence against the fourth chapter of psychotropic drugs of serious side anti The first day of acute dystonia second day meditation not section third iatrogenic Parkinson syndrome in fourth day of tardive dyskinesia in fifth malignant syndrome in sixth section of 5- serotonin syndrome in seventh section eighth of agranulocytosis Festival eosinophilia ninth section Gao Cui hyperprolactinemia tenth QT interval prolongation section eleventh penis priapism twelfth segmental dysfunction in fifth chapter circulation system emergency first acute myocardial infarction second arrhythmia third hypertensive crisis fourth acute left heart failure in sixth chapter acute respiratory system the first day of acute bronchitis asthma second day third day fourth day chronic obstructive pulmonary disease pulmonary encephalopathy in acute respiratory failure in seventh chapter fifth section of digestive system emergency section of acute hemorrhage of upper digestive tract ulcer disease acute second day third day fourth day eighth encephalopathy diarrhea urinary system emergency section of acute urinary tract infection in second acute renal failure ninth chapter surgical emergency section second section third trauma fracture section of craniocerebral injury in tenth chapter ENT emergency first aid section second asphyxia dislocation of temporomandibular joint The third section acute dacryocystitis fourth acute conjunctivitis fifth epistaxis in sixth day of acute epiglottitis seventh laryngeal obstruction eighth laryngeal, tracheal, bronchial foreign body ninth esophageal foreign bodies in tenth acute suppurative otitis media in the eleventh chapter of endocrine and metabolic emergency section pituitary crisis second diabetic ketoacidosis in third day diabetic hyperosmolar nonketotic coma fourth the twelfth chapter section of hypoglycemic coma neurological emergency section intracranial infection in second day third Festival cerebrovascular disease status epilepticus chapter thirteenth acute poisoning first acute poisoning diagnosis and treatment principles of second bacterial food poisoning third benzene two nitrogen leather drug poisoning fourth chlorpromazine poisoning fifth clozapine poisoning sixth section C Masi Bing poisoning seventh sodium valproate poisoning eighth perphenazine haloperidol poisoning poisoning section Ninth Section tenth atropine poisoning eleventh tricyclic antidepressant poisoning twelfth new antidepressant drug poisoning thirteenth lithium intoxication fourteenth common second generation antipsychotic poisoning fifteenth pesticide poisoning
Chapter excerpt

The first chapter is common in clinic second psychiatric day shock shock is due to decreased tissue perfusion widely, the vital organs such as the brain, heart, kidney and other organs do not get enough perfusion resulting syndrome. A word is the emergence of shock by French physician Le Dran in 1743 to describe the serious gunshot wounds with cycle with other organ dysfunction in critical state. The main clinical manifestation of circulatory insufficiency, lower blood pressure, systolic blood pressure of 60 ~ 80 mmHg, blood volume reduced by 20% ~ 40%. Because the heart, brain blood perfusion defects, patients often restlessness, irritability, shortness of breath, arrhythmia, weak pulse, and disturbance of consciousness, and even coma, limb cold wave, pale or cyanotic, less urine volume. [] the etiology and classification of normal blood circulation depends on the cardiac output, blood volume and vascular resistance and other factors, the factors from any cause dramatic changes can lead to decreased effective circulating blood volume, thereby affecting tissue perfusion, resulting in shock. According to the hemodynamic changes will shock pointsFor hypovolemic shock, cardiogenic shock and distributive shock three types. A, hypovolemic shock due to loss of blood, plasma or the extracellular fluid caused by reduced blood volume. Because of organ rupture, gastrointestinal bleeding due to blood loss; large area burn, peritonitis, vomiting, diarrhea and lead to the extracellular fluid loss due to mental symptoms; refused to eat, drink, inadequate intake and can lead to dehydration; may also be due to severe trauma, operation and lead to reduced blood volume. Two, cardiogenic shock is due to severely impaired cardiac function caused by the shock syndrome. The end of serious arrhythmia and any heart disease manifestations, its reason is divided into cardiac insufficiency and ventricular filling insufficiency. The main cause is myocardial infarction, myocarditis, also can be secondary to cardiac tamponade, cardiomyopathy and primary pulmonary hypertension. When acute myocardial infarction (AMI) resulted in 40% ventricular muscle loss is caused by AMI shock, cardiogenic shock accounts for more than 80% of all patients with cardiogenic shock. The mortality rate is very high, about 80%. Three, the distribution of shock is a systemic vascular resistance caused by various reasons, caused by the abnormal changes of blood distribution. 1 septic shock is a acute microcirculation dysfunction caused by severe infection, the peripheral vasoconstriction, the capillary bed expansion, relatively insufficient blood volume, blood volume reduction, decreased cardiac output. 2 neurogenic shock due to spinal cord injury, the level of anesthesia, pain, extreme fear too nervous and mental factors lead to the loss of control of sympathetic nerve function of resistance vessels, vascular dilatation. 3 allergic shock can be combined with a high molecular material directly immunogenic or macromolecular carriers and as small molecule hapten induced. In humans, the allergic reaction of various drugs, chemicals and worm and its metabolites caused is relatively common. Are penicillin allergic shock induced by bronchial asthma and most of type I allergic reaction, the mechanism is the same allergen again invade the body, combined with specific lgE antibody formation and in vivo, activation of mast cell and basophil degranulation, releasing a series of biological active substance, is outside a sensitized material after entering the body, short time to hook a strong allergic reaction caused by immune mechanism.......
Editor recommends

"Practical psychiatric emergency" concise and practical, for a variety of emergency key to clarify how to diagnosis and how to judge, for the treatment of highly specialized simple statements. On examination, only focuses on the diagnostic value and practical part in the mental hospital. In treatment, in addition to the therapeutic principle, also used in detail drug, pharmacology, dose, method of application and concise and the matters needing attention, including the transfer time and transfer matters needing attention.
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