致命的欧第皮主义:一个案例报告和文献综述
Lalita Gupta1, Tucker Houchens1, Diana Khair1
1Department of Ophthalmology and Visual Sciences.
Ophthalmic plastic and reconstructive surgery
|December 22, 2023
概括
这项研究详细介绍了因药物影响而导致致命的自我排核病例,并审查了75起类似病例. 完全的自我排核可以导致严重的内并发症和死亡.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 摘除自己的眼球的行为,是一种罕见而严重的自我伤害形式.
- 它通常与精神疾病和药物滥用有关.
- 自核化后的内并发症可能危及生命.
研究的目的:
- 描述一个完全单方面自我排核的独特致命病例.
- 审查以前发表的自我核化病例,以了解其发生率,特征和结果.
主要方法:
- 在PubMed/MEDLINE上对2023年1月之前发表的文章进行了全面的文献搜索,使用了"自核化"和"自我核化"等术语.
- 没有完全移除地球的自我损伤的情况被排除在外.
- 描述了一种独特的药物诱导完全单边自我排核的病例,并导致致命的内并发症.
主要成果:
- 文献审查确定了75名患者,他们至少完全自核化了一个地球.
- 受影响个体的平均年龄为37岁,其中50.7%为男性.
- 在64.0%的病例中存在精神疾病,28.0%的病例在事件发生时处于药物或酒精的影响下.
- 内并发症发生在26.7%的病例中,之前报告的一例死于此类并发症.
结论:
- 这一案例是独一无二的,因为致命的内并发症是完全单方面自我排卵引起的.
- 这凸显了迅速进行神经成像和彻底评估患者的必要性.
- 紧急的精神病学评估和干预对于管理自我核化患者至关重要.
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