心身医学立場からみた内科系救急車患者の実態

概要

論文の詳細を見る
Although medical emergency care is an important role of primary care medicine for general practitioners, there are a very few papers in this field written by general practitioner themselves.For this reason, the author studied by actual observation, ambulance carried patients during last five years at his own clinic, where a psychosomatic approach was performed on all patients. The results were as follows : 1. In a total two hundred seventy seven cases, 186 (67.1%) of them did not need any emergency care and could go back home immediately after ordinary treatment ot he out-patients floor.2. Of the total number of patients, there were seventy eight (28.2%) cases whose illness was diagnosed as psychosomatic by the initial interview. The most frequent disorders were hypertension and peptisc ulcer in male patients, and hyperventilation syndrome due to conversion hysteria in female patients.3. These psychosomatic cses were treated with various psychosomatic therapies and significant effectiveness was obtaiend in all cases. The results suggest that a psychosomatic approach is essential in primary care of patients arriving by ambulance.
日本心身医学会の論文
1980-06-01