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6A21

分裂情感障碍

Schizoaffective disorder

上级条目
精神分裂症或其他原发性精神病性障碍
层级
3 级

定义

精神分裂症是一种发作性疾病,即在同一病程中,同时或在相隔几天内,符合精神分裂症和躁狂、混合、中度或重度抑郁症发作的诊断要求。精神分裂症的突出症状(如妄想、幻觉、思维紊乱、影响、被动和控制的体验)伴中度或重度抑郁症发作的典型症状(如情绪低落、兴趣丧失、精力减退)、躁狂症发作(如以欣快、易怒或膨胀为特征的极端情绪状态;活动增加或精力增加的主观体验)或混合发作。可能出现精神运动障碍,包括紧张症。症状必须持续了至少一个月。症状不是其他疾病(如脑瘤)的表现,也不是由于某种物质或药物对中枢神经系统的影响(如皮质类固醇),包括戒断(如酒精戒断)。

Schizoaffective disorder is an episodic disorder in which the diagnostic requirements of schizophrenia and a manic, mixed, or moderate or severe depressive episode are met within the same episode of illness, either simultaneously or within a few days of each other. Prominent symptoms of schizophrenia (e.g. delusions, hallucinations, disorganisation in the form of thought, experiences of influence, passivity and control) are accompanied by typical symptoms of a moderate or severe depressive episode (e.g. depressed mood, loss of interest, reduced energy), a manic episode (e.g. an extreme mood state characterised by euphoria, irritability, or expansiveness; increased activity or a subjective experience of increased energy) or a mixed episode. Psychomotor disturbances, including catatonia, may be present. Symptoms must have persisted for at least one month. The symptoms are not a manifestation of another medical condition (e.g. a brain tumor) and are not due to the effect of a substance or medication on the central nervous system (e.g. corticosteroids), including withdrawal (e.g. alcohol withdrawal).

子条目 共 5 条

后组配轴 Postcoordination

后组配是在主干编码之后追加的可选扩展轴(如侧别、具体解剖部位、严重程度),用于把「部位 + 侧别 + 病程」等细节一次表达完整。只有标注「必填」的轴在组合编码时必须给出,其余可留空。

  • 临床表现hasManifestation可选