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        精神科 轉出 • 轉入患者에 대한 臨床的 硏究

        金明挂,李廷南 대한신경정신의학회 1982 신경정신의학 Vol.21 No.3

        The authors investigated the outcome of 208 psychiatric inpatients transferred in or cut in the context cf consultation-liaison psychiatry between Jan. 1975 and Dec. 1£81 at Chcsun University Hospital The results are as follows; 1. Comparing to the number of total and psychiatric inpatients, the number cf psychiatric patients transferred in and out was relatively stable throughout the past seven years. 2. The number of patients admitted via the emergency room was greater in transferred patients than in general inpatients. 3. 83.9% of transfer-in patients were either from the department cf internal medicine or neurosurgery, and 91.3% of transfer-out patients were either to the department of internal medicine or neurosurgery. 4. Before transfer-in, psychotropic agents had been prescribed in over half of the patients during the admission in the other departments. 5. Comparing the psychiatric tentative diagnosis with final diagnosis by the other department, patients with salmonellosis were most freguently misdiagnosed as psychoses or neuroses, of which the hysterical neurosis was most frequent 6. The most frequent psychiatric final diagnosis in transfer-in patients was neuroses or organic brain syndrome. 7. The implication, of these rescets and the prospect, education and training in the field of consultation-liaison psychiatry were discussed.

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        慢性 精神分裂病에서 Penfluridol이 血淸 Prolactin 値에 미치는 影響

        金明挂 대한신경정신의학회 1986 신경정신의학 Vol.25 No.2

        The experiment was aimed to study the prolactin response induced by long acting oral antipsychotics, penfluridol in 17male chronic schizophrenics^ After one week wash out period of other neuroleptics, penfluridol was administered orally with increment of 20 mg per week, and serum prolactin level was measured by the method of radioimmunoassay at the interval of 1, 2, 3, 4, 5 and 6 weeks after administration of penfluridol The results are as follows : 1) After one week washout period of other neuroleplics, the mean serum prolactin level was measured as 13.9± 8.57 ng/ml. ^ The mean serum prolactin levels after administration of 20 mg, 40 mg, and 60 mg of penfluridol were 24.3± 11.89 n g/m l, 38.1 ±20.66 n g /m l, and 56.1 ±25.47 n g /m l respectively. These rapid increases of prolactin secretion were statistically significant ( P <0.005). 3) The mean serum, prolactin levels after administration of 80 mg and 100 mg of penfluridol were 63.9± 27.45 ng / ml and 69.4± 29*83 ng /m l respectively- These increases showed less higher increase than those of administration of 20 to 60 mg of penfluridol. ridoL 4) The clinical symptoms were sli^idy improved, but those were not as much as increase of serum prolactin levels. As the above results, it was known that the pen fluridol was effected serum prolactin levels for 1week.

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