最后审阅: 23 九月 2021
最后更新: 23 二月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 年龄 18 岁以上
  • 至少有 1 个阳性精神病症状持续 > 1 天但 < 1 个月
  • 非药物使用引起的症状
  • 非内科疾病引起的症状

其他诊断因素

  • 近期分娩:4 周内
  • 近期压力和外伤

危险因素

  • 显著的生活应激源
  • 人格障碍
  • 精神病性障碍家族史
  • 产后 4 周
  • 女性既往精神症状史
  • 年龄 35~45 岁
  • 单身母亲

诊断性检查

首要检查

  • 血清妊娠试验(女性

需考虑的检查

  • 电解质
  • 尿素
  • 肌酐
  • 葡萄糖
  • 肝功能检查 (LFT)
  • 甲状腺功能检查 (TFT)
  • 梅毒血清学检查
  • 尿液分析
  • 尿液毒理学
  • 心电图 (ECG)
  • 脑 CT 扫描
  • 颅脑 MRI 扫描

治疗流程

撰稿人

作者

Kimberly R. Warren, PhD

Associate Professor

Morgan State University

Department of Psychology

Baltimore

MD

利益声明

KRW declares that she has no competing interests.

Elaine Weiner, MD

Assistant Professor

Outpatient Research Program

Department of Psychiatry

Maryland Psychiatric Research Center

University of Maryland

School of Medicine

Catonsville

MD

利益声明

EW declares that she has no competing interests.

Deanna L. Kelly, PharmD

Associate Professor

Director

Treatment Research Program

Maryland Psychiatric Research Center

University of Maryland

School of Medicine

Department of Psychiatry

Catonsville

MD

利益声明

DLK has served as a consultant for Alkermes and HLS Therapeutics.

鸣谢

Dr Kimberly Warren, Dr Elaine Weiner, and Dr Deanna Kelly would like to gratefully acknowledge Dr William R. Keller, a previous contributor to this topic.

利益声明

WRK declares that he has no competing interests.

同行评议者

Joel Yager, MD

Professor

Department of Psychiatry

University of New Mexico School of Medicine

Albuquerque

NM

利益声明

JY is an author of a reference cited in this topic.

Craig N. Sawchuk, PhD

Affiliate Assistant Professor

Department of Psychiatry and Behavioral Sciences

University of Washington Medical Center

Seattle

WA

利益声明

CNS declares that he has no competing interests.

内容使用需遵循免责声明