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Psychosomatik und Konsiliarpsychiatrie最新文献

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Einfluss von Alkohol auf Homocystein-Metabolismus und Epigenetik 酒精对基代谢和发育遗传的影响
Pub Date : 2008-01-01 DOI: 10.1007/s11800-007-0084-y
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引用次数: 0
Mitteilungen der AG Konsiliar/Liaisonpsychiatrie der Österreichischen Gesellschaft für Psychiatrie und Psychotherapie (ÖGPP) 奥地利精神病学与精神治疗协会(ogpp)
Pub Date : 2008-01-01 DOI: 10.1007/s11800-007-0086-9
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引用次数: 0
Mitteilung des DGPPN Referats Verhaltensmedizin und Konsiliarpsychiatrie 报告的精神病学报告
Pub Date : 2008-01-01 DOI: 10.1007/s11800-008-0106-4
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引用次数: 0
Die PuK verabschiedet sich! 柜台告辞了
Pub Date : 2008-01-01 DOI: 10.1007/s11800-008-0122-4
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引用次数: 0
Aktivitäten des DGPPN-Referats „Verhaltensmedizin und Konsiliarpsychiatrie“ 希望你还好吗?
Pub Date : 2008-01-01 DOI: 10.1007/s11800-007-0080-x
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引用次数: 0
Diabetes mellitus – eine Herausforderung für die “Psychofächer” 糖尿病——“心理学科”的挑战
Pub Date : 2008-01-01 DOI: 10.1007/s11800-008-0108-2
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引用次数: 0
Posttraumatic stress disorder in survivors of acute respiratory distress syndrome (ARDS) and septic shock. 急性呼吸窘迫综合征(ARDS)和感染性休克幸存者的创伤后应激障碍。
Pub Date : 2008-01-01 Epub Date: 2008-11-27 DOI: 10.1007/s11800-008-0129-x
Kapfhammer Hans-Peter

Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) define medical conditions of acute respiratory insufficiency deriving from direct and indirect damage of the alveolar parenchyma and often associated with multiorgan dysfunction (MODS). As a rule, intensive care is based on mechanical ventilation often requiring high doses of sedatives and narcotics. Despite major progress in intensive care medicine the rate of mortality is still very high. Whereas in the past the level of medical progress has been rated based on the mortality rate alone, the many negative somatic and psychological sequelae in long-term-survivors of ARDS are only now being appreciated. From a perspective of C/L psychiatry persisting cognitive dysfunctions, anxiety and mood disorders, posttraumatic stress disorders (PTSD) in their negative impact on health-related quality of life are intensively investigated. In the etiopathogenesis of PTSD associated with ALI/ARDS, many influences have to be discussed, e.g., increases in CO2 triggering panic affects, a mismatch of norepinephric overstimulation and cortisol insufficiency, negative effects of high doses of benzodiazepines resulting in oversedation, prolonged phases of weaning and more frequent states of delirium. Consolidation and retrieval of traumatic memories of the ICU stay are influenced by complex factors. From a clinical point of view prophylactic stress doses of hydrocortisone may reduce the major risk of PTSD associated with ALI / ARDS.

急性肺损伤(ALI)和急性呼吸窘迫综合征(ARDS)定义了由肺泡实质直接或间接损伤引起的急性呼吸功能不全,并常伴有多器官功能障碍(MODS)。通常,重症监护是基于机械通气,通常需要大剂量的镇静剂和麻醉剂。尽管重症监护医学取得了重大进展,但死亡率仍然很高。在过去,医学进步的水平仅仅是根据死亡率来评定的,而在ARDS的长期幸存者中,许多负面的躯体和心理后遗症现在才得到重视。从C/L精神病学的角度深入研究了持续性认知功能障碍、焦虑和情绪障碍、创伤后应激障碍(PTSD)对健康相关生活质量的负面影响。在与ALI/ARDS相关的创伤后应激障碍的发病机制中,必须讨论许多影响因素,例如,二氧化碳增加引发恐慌效应,去甲肾上腺过度刺激和皮质醇不足的不匹配,高剂量苯二氮卓类药物导致过度镇静的负面影响,延长断奶期和更频繁的谵妄状态。创伤性记忆的巩固和检索受复杂因素的影响。从临床角度来看,预防性应激剂量的氢化可的松可能降低与ALI / ARDS相关的PTSD的主要风险。
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引用次数: 6
Zur Relevanz des psychiatrischen Konsils bei alkoholbezogenen Störungen im Allgemeinkrankenhaus 关于精神一致性在综合医院酒精相关问题上的重要性
Pub Date : 2008-01-01 DOI: 10.1007/s11800-007-0075-z
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引用次数: 0
Mitteilung der Schweizerischen Gesellschaft für Konsiliar- und Liaisonpsychiatrie (SSCLP) 瑞士抗菌素和真菌协会(SSCLP)的说明
Pub Date : 2008-01-01 DOI: 10.1007/s11800-008-0117-1
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引用次数: 0
Die Anfänge der Psychoonkologie: Fritz Meerwein 在精神肿瘤学的早期
Pub Date : 2007-11-01 DOI: 10.1007/S11800-007-0055-3
R. Schwarz†
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引用次数: 1
期刊
Psychosomatik und Konsiliarpsychiatrie
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