精神病患者经常摄入外体:一种保守的方法
Clara L Voltarelli1, Beatriz Kneif Reis2, Lucas Dos Santos Siviero3
1Internal Medicine, Hospital Universitário Cajuru, Curitiba, BRA.
Cureus
|September 12, 2025
概括
精神病患者的外体摄入需要谨慎管理. 保守治疗可以作为手术的安全替代方案,特别是在内镜切除失败后,对于经常摄入外体的患者来说.
科学领域:
- 精神病学是一个精神病学.
- 胃肠病学 胃肠病学
- 手术管理的手术管理.
背景情况:
- 外体摄入是精神病患者的一个复杂问题,往往导致严重的并发症和高发病率.
- 患有精神疾病的患者,如双相情感障碍和边缘性人格障碍的反复摄入事件,带来了重大的临床挑战.
- 以前的外体摄入外科手术可能会导致广泛的腹部粘附,增加后续手术的风险.
研究的目的:
- 报告精神病患者反复摄入外体的情况.
- 突出处理此类病例的挑战和考虑因素,特别是在内镜切除失败后.
- 强调个性化,多学科的方法在确定最佳的治疗策略的重要性.
主要方法:
- 一个33岁的女性患有双相情感障碍和边缘性人格障碍,表现出外体摄入症状的病例报告.
- 诊断工作包括成像和内镜,揭示了多个摄入的指甲.
- 管理包括一项保守治疗试验,在失败的内镜切除后进行密切的临床和放射性监测.
主要成果:
- 在病人身上,多个被摄入的指甲被识别出来.
- 内镜去除没有成功.
- 保守的管理导致了成功的解决方案,在18天住院后没有留住异体或并发症.
结论:
- 对精神病患者来说,个性化管理对于经历反复外体摄入的精神病患者至关重要.
- 保守治疗可以是手术的安全和有效替代方案,特别是当内镜干预失败时.
- 多学科的方法对于风险评估和指导治疗策略之间的侵袭性和非侵袭性治疗决策至关重要.
相关概念视频
Prevention of Further Absorption of Poison
1.2K
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
1.2K
Psychosurgery
1.6K
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
1.6K
Gastroesophageal Reflux Disease II: Clinical Features and Management
707
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
707
Inflammatory Bowel Disease V: Surgical Management
456
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
456
Bulimia Nervosa
699
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
699
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
577
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
577


