\t\t\t\t\u6240\u8c13\u300c\u8e81\u90c1\u75c7\u300d\uff08manic-depression\uff09\uff0c\u4e00\u822c\u800c\u8a00\u662f\u6307\u4e2a\u4f53\u6709\u65f6\u51fa\u73b0\u5fe7\u90c1\u7684\u75c7\u72b6\uff0c\u6709\u65f6\u53c8\u51fa\u73b0\u72c2\u8e81\u7684\u75c7\u72b6\uff0c\u6b64\u4e24\u79cd\u7279\u5fb5\u4e0d\u65ad\u7684\u4ea4\u4e92\u51fa\u73b0\u4e4b\u60c5\u5f62\uff0c\u56e0\u6b64\u53c8\u79f0\u4e4b\u4e3a\u53cc\u6781\u6027\u75be\u60a3\uff08bipolar disorder\uff09\uff0c\u4e5f\u5c31\u662f\u8bf4\u4e2a\u4f53\u4f1a\u51fa\u73b0\u4e24\u6781\u7684\u60c5\u7eea\u53cd\u5e94\uff0c\u4e00\u4e3a\u72c2\u8e81\uff0c\u53e6\u4e00\u4e3a\u5fe7\u90c1\u3002\u5f53\u4e2a\u4f53\u5728\u72c2\u8e81\u9636\u6bb5\uff0c\u5176\u51fa\u73b0\u7684\u7279\u5fb5\u4e3a\u60c5\u7eea\u5f02\u5e38\u5174\u594b\u3001\u81ea\u6211\u81a8\u80c0\uff0c\u7761\u7720\u65f6\u6570\u51cf\u5c11\uff0c\u975e\u5e38\u5065\u8c08\u3001\u591a\u8bdd\uff0c\u5e38\u5e38\u662f\u6ed4\u6ed4\u4e0d\u7edd\u8bb2\u4e2a\u6ca1\u5b8c\uff0c\u53e6\u5916\u4ed6\u4eec\u7684\u601d\u8003\u6216\u60f3\u6cd5\u4e5f\u7ecf\u5e38\u8df3\u6765\u8df3\u53bb\uff0c\u79f0\u4e4b\u4e3a\u8df3\u8dc3\u6027\u601d\u8003\uff08flight of ideas\uff09\uff0c\u6613\u5206\u5fc3\uff0c\u5728\u884c\u4e3a\u4e0a\u6211\u4eec\u53ef\u4ee5\u770b\u5230\u5176\u5e38\u5e38\u75af\u72c2\u8d2d\u7269\uff0c\u800c\u4e0d\u7ba1\u4ef7\u94b1\u591a\u5c11\u7b49\u5931\u63a7\u884c\u4e3a\u7279\u5fb5\u3002\u5f53\u4e2a\u4f53\u5904\u65bc\u5fe7\u90c1\u7684\u9636\u6bb5\uff0c\u5176\u7279\u5fb5\u53c8\u663e\u793a\u51fa\u5fc3\u60c5\u6cae\u4e27\u4f4e\u6c88\u3001\u5bf9\u4efb\u4f55\u4e8b\u7f3a\u4e4f\u53cd\u5e94\u6216\u5174\u8da3\u3001\u4f53\u91cd\u6539\u53d8\u3001\u4ea7\u751f\u7761\u7720\u56f0\u6270\u3001\u7f3a\u4e4f\u6d3b\u529b\u3001\u8d1f\u5411\u7684\u8ba4\u77e5\u6216\u770b\u6cd5\u7b49\u7b49\u7684\u7279\u5fb5\u3002<\/p>\n
\u8e81\u90c1\u75c7\u5728\u6709\u6548\u6301\u7eed\u7684\u836f\u7269\u53ca\u5fc3\u7406\u6cbb\u7597\u4e0b\uff0c\u662f\u80fd\u6709\u6548\u7684\u6cbb\u6108\u3002\u6839\u636e\u73b0\u6709\u7684\u7814\u7a76\uff0c\u8fd9\u6837\u7684\u75c5\u75c7\u8fd8\u662f\u6709\u9057\u4f20\u7684\u53ef\u80fd\u6027\u3002<\/p>\n
\u8e81\u90c1\u75c7\u662f\u4e00\u79cd\u53cc\u6781\u6027\u7684\u60c5\u611f\u75be\u60a3(bipolar mooddisorder)\u3002\u6b64\u79cd\u75be\u75c5\u7684\u7279\u6027\u662f\u8e81\u72c2\u53d1\u4f5c(manicepisode)\u4e0e\u5fe7\u90c1\u53d1\u4f5c(depressiveepisode)\u4ea4\u4e92\u6216\u6df7\u5408\u5730\u51fa\u73b0\u3002\u5176\u4e2d\u8e81\u72c2\u53d1\u4f5c\u7684\u7279\u6027\u4e3a\uff1a\u9ad8\u6602\u3001\u5f00\u9614\u3001\u591a\u8bdd\u3001\u6613\u6012\u3001\u81ea\u5938\u3001\u81ea\u5927\u3001\u6ce8\u610f\u529b\u5206\u6563\u3001\u610f\u5ff5\u98de\u8dc3\u3001\u4e0d\u5bfb\u5e38\u7684\u5feb\u4e50\u3001\u76f2\u76ee\u7684\u6295\u8d44\u6216\u91c7\u8d2d\u3001\u6d3b\u52a8\u91cf\u589e\u5927\u3001\u7761\u7720\u65f6\u95f4\u5c11\u7b49\u7b49\u3002\u5fe7\u90c1\u53d1\u4f5c\u7684\u7279\u6027\u4e3a\uff1a\u5fc3\u60c5\u6cae\u4e27\u3001\u5931\u53bb\u5174\u8da3\u3001\u6d3b\u52a8\u529b\u964d\u4f4e\u3001\u98df\u7761\u4e60\u60ef\u6539\u53d8\u3001\u75b2\u7d2f\u65e0\u6d3b\u529b\u3001\u81ea\u8d23\u3001\u81ea\u6740\u7b49\u7b49\u3002\u7531\u6b64\u53ef\u77e5\uff0c\u8e81\u90c1\u75c7\u7684\u670b\u53cb\u5728\u60c5\u7eea\u4e0a\u7684\u53d8\u5316\u4f1a\u5f88\u6781\u7aef\uff0c\u53ef\u80fd\u524d\u4e00\u5468\u8fd8\u300c\u5feb\u4e50\u5f97\u4e0d\u5f97\u4e86\u300d\uff0c\u4e0b\u4e00\u5468\u5c31\u5fe7\u90c1\u5f97\u60f3\u81ea\u6740\u3002\u751a\u6216\u6df7\u5408\u578b\u7684\u53d1\u4f5c\uff0c\u66f4\u51fa\u73b0\u559c\u6012\u65e0\u5e38\u3001\u9634\u60c5\u4e0d\u5b9a\u7684\u7279\u6027\u3002<\/p>\n
\u8ddf\u8fd9\u6837\u7684\u670b\u53cb\u8981\u600e\u6837\u76f8\u5904\u5462\uff1f\u60a8\u53ef\u4ee5\u8fdb\u4e00\u6b65\u53c2\u8003\u533b\u5b66\u4e66\u7c4d\u4e86\u89e3\u8fd9\u79cd\u75be\u75c5\u7684\u7279\u6027\u3002\u5f53\u60a8\u4e86\u89e3\u75c5\u4eba\u60c5\u7eea\u8d77\u4f0f\u7684\u7279\u6027\u540e\uff0c\u8bf7\u60a8\u5305\u5bb9\u3001\u5173\u6000\u5e76\u63a5\u7eb3\u4ed6\u3002\u8fd9\u65f6\u60a8\u81ea\u8eab\u7684\u60c5\u7eea\u6bd4\u8f83\u4e0d\u4f1a\u53d7\u5230\u5f71\u54cd\u3002\u60a8\u53ef\u4ee5\u534f\u52a9\u4ed6\u8d74\u7cbe\u795e\u79d1\u5c31\u8bca\u5e76\u529d\u4ed6\u6309\u65f6\u670d\u7528\u836f\u7269\uff0c\u8fd9\u9ebc\u505a\u53ef\u4ee5\u589e\u8fdb\u5176\u60c5\u7eea\u7a33\u5b9a\u5ea6\u3002\u60a8\u4ecd\u7136\u53ef\u4ee5\u4e0e\u4ed6\u505a\u670b\u53cb\uff0c\u5e76\u5c3d\u4f60\u6240\u80fd\u534f\u52a9\u4ed6\u9002\u5e94\u751f\u6d3b\u3002\u4f46\u662f\uff0c\u8fd9\u6837\u7684\u75be\u75c5\u786e\u5b9e\u6709\u5fc5\u8981\u63a5\u53d7\u4e13\u4e1a\u533b\u7597\u7684\u534f\u52a9\u3002\u7531\u65bc\u8e81\u90c1\u75c7\u8fd8\u6709\u5404\u79cd\u578b\u6001\uff0c\u5230\u533b\u9662\u770b\u8bca\u65f6\uff0c\u518d\u9488\u5bf9\u75c5\u60a3\u7279\u6027\u8bf7\u6559\u76f8\u5bf9\u5e94\u7684\u76f8\u5904\u65b9\u5f0f\u4f1a\u66f4\u597d\u3002<\/p>\n
\u5fe7\u90c1\u75c7(major depression) or clinical depression\u548c\u8e81\u90c1\u75c7(bipolar disorder)\u4e24\u8005\u90fd\u662f\u5e38\u89c1\u7684\u60c5\u611f\u6027\u75be\u75c5 (affective disorder or mood disorder)\uff0c\u56e0\u4e3a\u4ed6\u4eec\u4e3b\u8981\u7684\u75c7\u72b6\u662f\u5f71\u54cd\u4e2a\u4f53\u7684\u60c5\u7eea\u3002\u5fe7\u90c1\u75c7\u548c\u8e81\u90c1\u75c7\u53c8\u5206\u522b\u79f0\u4e3a\u5355\u6781\u6027 (unipolar\uff0c\u56e0\u4e3a\u75c7\u72b6\u662f\u5355\u5411\u7684)\u548c\u53cc\u6781\u6027(bipolar or manic-depressive\uff0c\u56e0\u4e3a\u75c7\u72b6\u662f\u53cc\u5411\u7684) \u7684\u60c5\u611f\u75be\u75c5\u3002\u5176\u5b83\u5e38\u89c1\u7684\u60c5\u611f\u6027\u75be\u75c5\u5c1a\u5305\u62ec\u4e86\u8f7b\u90c1\u75c7 (dysthymia, \u4e00\u79cd\u6162\u6027\u7684\u4e2d\u5ea6\u5fe7\u90c1\u75c7)\uff0c\u5faa\u73af\u6027\u60c5\u611f\u75be\u75c5(cyclothymia, \u4e00\u79cd\u8f83\u8f7b\u5fae\u7684\u8e81\u90c1\u75c7)\u3002
\n\u4e3a\u4ec0\u9ebc\u4f1a\u60a3\u6709\u8fd9\u7c7b\u75be\u75c5\u5462? \u4e00\u4e2a\u4eba\u7684\u57fa\u56e0\u751f\u5316\u4ee5\u53ca\u73af\u5883\u56e0\u5b50\u90fd\u5728\u75be\u75c5\u7684\u53d1\u4f5c\u53ca\u6108\u540e\u4e0a\u626e\u6f14\u4e86\u76f8\u5f53\u91cd\u8981\u7684\u811a\u8272\u3002\u73b0\u6709\u7406\u8bba\u503e\u5411\u65bc\u6709\u4e9b\u4e2a\u4f53\u5148\u5929\u5373\u6bd4\u8f83\u5bb9\u6613\u53d1\u751f\u8111\u90e8\u5316\u5b66\u7269\u8d28\u4e0d\u5e73\u8861\u7684\u73b0\u8c61( \u548c\u9057\u4f20\u76f8\u5173)\uff0c\u751f\u6d3b\u4e2d\u7684\u538b\u529b\u4e8b\u4ef6\u53ea\u662f\u4fc3\u4f7f\u53d1\u75c5\u7684\u8fd1\u56e0\uff0c\u6240\u4ee5\u8e81\u90c1\u75c7\u60a3\u8005\u7684\u624b\u8db3\u548c\u5b50\u5973\u6709\u8f83\u9ad8\u7f79\u60a3\u8e81\u90c1\u75c7\u7684\u6bd4\u4f8b\u3002
\n\u7eb5\u4f7f\u6bcf\u4e2a\u4eba\u5728\u65e5\u5e38\u751f\u6d3b\u4e2d\u90fd\u66fe\u7ecf\u9a8c\u8fc7\u60c5\u7eea\u4e0a\u7684\u8d77\u8d77\u843d\u843d\uff0c\u8fd9\u548c\u8e81\u90c1\u75c7\u7684\u60c5\u7eea\u8d77\u4f0f\u5e76\u4e0d\u76f8\u540c\u3002\u540e\u8005\u4e0d\u8bba\u662f\u5728\u60c5\u7eea\u5f3a\u5ea6\u6216\u662f\u6301\u7eed\u65f6\u95f4\u4e0a\uff0c\u90fd\u6bd4\u4e00\u822c\u7684\u60c5\u7eea\u8d77\u4f0f\u6781\u7aef\u8bb8\u591a\u3002<\/p>\n
\u4ee5\u4e0b\u662f\u8e81\u90c1\u75c7\u5fe7\u90c1\u671f\u7684\u75c7\u72b6:
\n\u957f\u65f6\u95f4\u7684\u60b2\u4f24\u6216\u8005\u65e0\u6cd5\u89e3\u91ca\u7684\u54ed\u6ce3
\n\u98df\u6b32\u53ca\u7761\u7720\u4e0a\u7684\u660e\u663e\u6539\u53d8
\n\u6613\u6012\uff0c\u5bb9\u6613\u62c5\u5fc3\uff0c\u8e81\u52a8\u6216\u7126\u8651
\n\u60b2\u89c2\u6216\u8005\u51b7\u6f20
\n\u4e27\u5931\u7cbe\u529b\u6216\u6301\u7eed\u7684\u55dc\u7761
\n\u89c9\u5f97\u7f6a\u6076\uff0c\u6ca1\u6709\u4ef7\u503c
\n\u65e0\u6cd5\u4e13\u5fc3\u6216\u65e0\u6cd5\u505a\u51b3\u5b9a
\n\u65e0\u6cd5\u4ece\u4ee5\u5f80\u6709\u5174\u8da3\u7684\u6d3b\u52a8\u4e2d\u5f97\u5230\u4e50\u8da3\u6216\u662f\u4e0d\u613f\u53c2\u52a0\u793e\u4ea4\u6d3b\u52a8
\n\u65e0\u6cd5\u89e3\u91ca\u7684\u8eab\u4f53\u75bc\u75db
\n\u53cd\u8986\u7684\u81ea\u6740\u5ff5\u5934<\/p>\n
“\u6211\u5f7b\u5e95\u7684\u6000\u7591\u6211\u7684\u80fd\u529b\uff0c\u6211\u6ca1\u6709\u529e\u6cd5\u505a\u597d\u4efb\u4f55\u4e00\u4ef6\u4e8b\u3002\u6211\u7684\u5934\u8111\u4f3c\u4e4e\u5b8c\u5168\u7684\u505c\u987f\u4e86\uff0c\u5b83\u6839\u672c\u5c31\u6ca1\u7528\u4e86\u3002\u6211\u5b8c\u5168\u7684\u7edd\u671b\u3002\u522b\u4eba\u8bf4\u8fd9\u53ea\u662f\u6682\u65f6\u7684\uff0c\u8fd9\u4e00\u5207\u90fd\u4f1a\u8fc7\u53bb\uff0c\u4f46\u4ed6\u4eec\u5b8c\u5168\u4e0d\u4e86\u89e3\u6211\u7684\u611f\u53d7 ( \u867d\u7136\u4ed6\u4eec\u8bf4\u4ed6\u4eec\u53ef\u4ee5)\u3002\u5929\u54ea\uff0c\u8fd9\u6837\u6d3b\u8457\u6709\u9ebc\u610f\u4e49?…..” <\/p>\n
\u4ee5\u4e0b\u662f\u8e81\u90c1\u75c7\u8e81\u671f\u7684\u75c7\u72b6:<\/p>\n
\u9ad8\u6602\u7684\u60c5\u7eea\uff0c\u8fc7\u5ea6\u7684\u4e50\u89c2\u548c\u81ea\u4fe1
\n\u51cf\u5c11\u5bf9\u7761\u7720\u7684\u9700\u6c42\u800c\u4e14\u4e0d\u4f1a\u611f\u5230\u75b2\u5026
\n\u81ea\u5927\u5984\u60f3\uff0c\u81a8\u80c0\u7684\u81ea\u6211\u610f\u8bc6
\n\u8eab\u4f53\u548c\u5fc3\u7406\u6d3b\u52a8\u7684\u589e\u52a0
\n\u8bf4\u8bdd\u901f\u5ea6\u5feb\uff0c\u601d\u8003\u5feb\u901f\u548c\u51b2\u52a8
\n\u5224\u65ad\u529b\u5dee\uff0c\u5bb9\u6613\u5206\u5fc3
\n\u83bd\u649e\u7684\u884c\u4e3a
\n\u5728\u6781\u4e25\u91cd\u7684\u60c5\u51b5\u4e0b\u53ef\u80fd\u6709\u5e7b\u89c9<\/p>\n
\u8f7b\u8e81\u671f(hypomania): “\u6211\u89c9\u5f97\u5f88\u6109\u5feb\uff0c\u4e00\u5207\u90fd\u68d2\u6781\u4e86\u3002\u6211\u7684\u5934\u8111\u6e05\u6f88\u601d\u8003\u8fc5\u901f\uff0c\u6240\u6709\u7684\u5bb3\u7f9e\u90fd\u4e0d\u89c1\u4e86\u3002\u6211\u89c9\u5f97\u8f7b\u677e\u81ea\u5728\uff0c\u5145\u6ee1\u4e86\u81ea\u4fe1\uff0c\u4ee5\u5f80\u65e0\u8da3\u7684\u4eba\u4e8b\u7269\u4e5f\u90fd\u6709\u8da3\u4e86\u8d77\u6765…….” <\/p>\n
\u72c2\u8e81\u671f(mania): “\u6211\u7684\u601d\u7eea\u8d8a\u6765\u8d8a\u5feb\uff0c\u5feb\u5230\u6211\u65e0\u6cd5\u638c\u63a7\u3002\u6709\u8da3\u7684\u4e8b\u5f00\u59cb\u8352\u5510\u8d70\u6837\uff0c\u670b\u53cb\u4eec\u5f00\u59cb\u5bb3\u6015\u6211…..\u6211\u6781\u5bb9\u6613\u751f\u6c14\uff0c\u4f46\u662f\u53c8\u5f88\u5bb3\u6015\uff0c\u6211\u65e0\u6cd5\u63a7\u5236\u81ea\u5df1…….” <\/p>\n
\u5907\u6ce8: \u4ee5\u4e0a\u662f\u5178\u578b\u8e81\u90c1\u75c7\u7684\u75c7\u72b6 (Bipolar I)\uff0c\u4e0d\u540c\u7684\u4e9a\u578b\u6709\u4e0d\u540c\u7684\u8868\u73b0 (\u8bf7\u53c2\u7167\u8fdb\u9636\u7bc7\u8e81\u90c1\u75c7\u7684\u5206\u7c7b) \u3002\u8389\u4e00\u70b9\u503c\u5f97\u6ce8\u610f\u7684\u662f\u8e81\u90c1\u75c7\u60a3\u8005\u5e76\u975e\u4e00\u5b9a\u540c\u65f6\u8868\u663e\u51fa\u6240\u6709\u7684\u75c7\u72b6\uff0c\u75c7\u72b6\u7684\u8868\u73b0\u662f\u4e00\u6bb5\u65f6\u671f\u4e00\u6bb5\u65f6\u671f\u7684\u3002\u6b64\u5916\uff0c\u75c7\u72b6\u7684\u4e25\u91cd\u7a0b\u5ea6\u4e5f\u4f9d\u4e2a\u4f53\u548c\u4e0d\u540c\u65f6\u671f\u6709\u6240\u4e0d\u540c\u3002<\/p>\n
\u8e81\u90c1\u75c7\u7684\u5206\u7c7b(based on Young & Klerman, 1992):
\n\u8e81\u90c1\u75c7\u7b2c\u4e00\u578b (Bipolar I) \u2013 \u8e81\u72c2\u548c\u91cd\u5ea6\u5fe7\u90c1 (mania + major depression)
\n\u8e81\u90c1\u75c7\u7b2c\u4e8c\u578b (Bipolar II)- \u8f7b\u5ea6\u8e81\u72c2\u548c\u91cd\u5ea6\u5fe7\u90c1 (hypomania+ major depression)
\n\u8e81\u90c1\u75c7\u7b2c\u4e09\u578b (Bipolar III)-\u5faa\u73af\u6027\u60c5\u611f\u75be\u75c5 (cyclothymia)-\u8f7b\u5ea6\u72c2\u8e81\u548c\u8f7b\u5ea6\u5fe7\u90c1
\n\u8e81\u90c1\u75c7\u7b2c\u56db\u578b (Bipolar IV)-\u56e0\u4e3a\u6297\u5fe7\u90c1\u5242\u5f15\u53d1\u7684\u72c2\u8e81
\n\u8e81\u90c1\u75c7\u7b2c\u4e94\u578b (Bipolar V)- \u5bb6\u65cf\u53f2\u4e2d\u6709\u8e81\u90c1\u75c7\u7684\u91cd\u5ea6\u5fe7\u90c1
\n\u8e81\u90c1\u75c7\u7b2c\u516d\u578b (Bipolar VI)-\u5355\u6781\u6027\u8e81\u75c7 (unipolar mania)<\/p>\n
\u8e81\u90c1\u75c7\u7b2c\u4e00\u578b\u662f\u5728\u8bca\u65ad\u4e0a\u6700\u4e0d\u5177\u4e89\u8bae\u6027\u7684\uff0c\u540c\u65f6\u5b83\u4e5f\u662f\u6700\u88ab\u5e7f\u6cdb\u7814\u7a76\u7684\u4e00\u578b\u3002\u8e81\u90c1\u75c7\u7b2c\u4e8c\u578b\u8fd1\u5e74\u6765\u88ab\u8ba4\u4e3a\u5e94\u8be5\u6bd4\u4ee5\u5f80\u6240\u76f8\u4fe1\u7684\u66f4\u4e3a\u666e\u904d\uff0c\u5c24\u5176\u662f\u5728\u5e74\u8f7b\u4eba\u4e2d\uff0c\u6240 \u4ee5\u5fe7\u90c1\u75c7\u60a3\u8005\u90fd\u5e94\u8be5\u7ecf\u8fc7\u7b5b\u9009\u770b\u662f\u5426\u662f\u8e81\u90c1\u75c7\u7b2c\u4e8c\u578b\u3002\u5faa\u73af\u6027\u60c5\u611f\u75be\u75c5\u53ef\u80fd\u4e00\u8f88\u5b50\u90fd\u8868\u73b0\u51fa\u76f8\u540c\u7684\u75c7\u72b6\uff0c\u800c\u4e0d\u4f1a\u6f14\u53d8\u6210\u5178\u578b\u7684\u8e81\u90c1\u75c7 ( \u901a\u5e38\u6307\u7b2c\u4e00\u578b)\u3002\u81f3\u65bc\u7531\u6297\u5fe7\u90c1\u5242\u5f15\u53d1\u7684\u7b2c\u56db\u578b\u8e81\u90c1\u75c7\uff0c\u76ee\u524d\u5e76\u6ca1\u6709\u5171\u8bc6\u8ba4\u4e3a\u5b83\u7684\u8e81\u671f\u662f\u6297\u5fe7\u90c1\u5242\u7684\u526f\u4f5c\u7528\uff0c\u6291\u6216\u662f\u63ed\u53d1 (unmasking) \u4e86\u4e2a\u4f53\u8e81\u90c1\u75c7\u7684\u6f5c\u56e0\u3002\u6709\u4e00\u90e8\u4efd\u7684\u8e81\u90c1\u75c7\u60a3\u8005\u4e00\u5f00\u59cb\u662f\u4ee5\u5fe7\u90c1\u75c7\u4e3a\u8868\u73b0\uff0c\u5c24\u5176\u662f\u5e74\u8f7b\u7684\u60a3\u8005\uff0c\u6240\u4ee5\u8e81\u90c1\u75c7\u548c\u5fe7\u90c1\u75c7\u6709\u65f6\u5e76\u4e0d\u6613\u533a\u5206\u3002\u81f3\u65bc\u5355\u6781\u6027\u7684\u8e81\u75c7\u5219\u5341\u5206\u7f55\u89c1\uff0c\u5982\u679c\u662f\u53d1\u751f\u518d\u56db\u5341\u5c81\u4ee5\u540e\u5219\u9700\u8981\u8003\u8651\u53ef\u80fd\u662f\u795e\u7ecf\u5b66\u53ca\u5176\u5b83\u751f\u7406\u65b9\u9762\u7684\u75c5\u53d8\u3002<\/p>\n
\u8e81\u90c1\u75c7\u7684\u4f2a\u88c5
\n\u8e81\u90c1\u75c7\u6709\u53ef\u80fd\u4f2a\u88c5\u6210 (\u6216\u662f\u540c\u65f6\u7f79\u60a3\u4e24\u79cd\u75be\u75c5)\u884c\u4e3a\u8fdd\u5e38 (conductive disorder)\uff0c\u8fc7\u52a8\u75c7\uff0c\u9152\u7cbe\u6ee5\u7528\u53ca\u5176\u5b83\u7269\u8d28\u6ee5\u7528\uff0c\u5f3a\u8feb\u75c7\uff0c\u6050\u614c\u75c7\uff0c\u4eba\u683c\u5f02\u5e38….. \uff0c\u6240\u4ee5\u5728\u8bca\u65ad\u4e0a\u5341\u5206\u56f0\u96be\u3002 <\/p>\n
\u8e81\u90c1\u75c7\u53d1\u75c5\u7684\u5e74\u9f84
\n\u8e81\u90c1\u75c7\u901a\u5e38\u5728\u9752\u6625\u671f\u6216\u662f\u6210\u5e74\u671f\u65e9\u671f\u53d1\u75c5\uff0c\u4f46\u662f\u901a\u5e38\u5728\u53d1\u75c5\u548c\u524d\u5f80\u6cbb\u7597\u4e4b\u95f4\u5e38\u5e38\u6709\u8bb8\u591a\u5e74\u7684\u5ef6\u8bef\uff0c\u4e5f\u56e0\u6b64\u9020\u6210\u4e2a\u4f53\u5728\u4eba\u9645. \u8bfe\u4e1a\u548c\u793e\u4f1a\u529f\u80fd\u65b9\u9762\u7684\u91cd\u5927\u5f71\u54cd\u3002\u7814\u7a76\u663e\u793a\u7cbe\u795e\u5206\u88c2\u75c7\u8005\u7684\u5ef6\u8bef\u5c31\u533b\u548c\u8be5\u4e2a\u4f53\u7684\u9884\u540e\u8f83\u5dee\u76f8\u5173\uff0c\u4f46\u662f\u8e81\u90c1\u75c7\u5e76\u6ca1\u6709\u8bc1\u636e\u663e\u793a\u4ea6\u6709\u6b64\u73b0\u8c61\u5b58\u5728\u3002
\n\u65e9\u671f\u53d1\u75c5\u901a\u5e38\u662f\u6307\u572825\u5c81\u4e4b\u524d\u53d1\u75c5\uff0c\u901a\u5e38\u8d8a\u65e9\u53d1\u75c5\u8005\u7684\u5bb6\u65cf\u75c5\u53f2\u8f83\u91cd\u3002\u901a\u5e38\u8f83\u65e9\u53d1\u75c5\u7684\u8e81\u90c1\u75c7\u60a3\u8005\u4e00\u5f00\u59cb\u591a\u4ee5\u5fe7\u90c1\u671f\u4e3a\u4e3b\uff0c\u5e76\u4e14\u901a\u5e38\u4f1a\u7ecf\u5386\u591a\u6b21\u5fe7\u90c1\u671f\u4e4b\u540e\u624d\u4f1a\u6709\u8f7b\u5ea6\u72c2\u8e81\u3002\u8fd9\u7c7b\u60a3\u8005\u901a\u5e38\u5bf9Divalproex\u53cd\u5e94\u8f83Lithium\u4f73\u3002\u5927\u90e8\u5206\u7684\u8e81\u90c1\u75c7\u60a3\u8005\u4f1a\u7ecf\u5386\u591a\u6b21\u53d1\u75c5\uff0c\u800c\u4e14\u65e0\u75c7\u72b6\u671f(symptom-free interval)\u7684\u957f\u5ea6\u901a\u5e38\u4f1a\u968f\u8457\u5e74\u9f84\u7684\u589e\u957f\u800c\u51cf\u77ed\u3002 <\/p>\n
\u5fc3\u7406\u6cbb\u7597
\n\u8e81\u90c1\u75c7\u7684\u5fc3\u7406\u6cbb\u7597\u901a\u5e38\u8457\u91cd\u65bc\u9634\u6781\u5e76\u5f15\u8d77\u7684\u751f\u6d3b\u8c03\u9002\u56f0\u6270(\u56e0\u6b64\u75c5\u901a\u5e38\u5bf9\u751f\u6daf\u89c4\u5212\u6709\u91cd\u5927\u5f71\u54cd)\uff0c\u63d0\u4f9b\u60a3\u8005\u53ca\u5bb6\u5c5e\u60c5\u7eea\u652f\u6301. \u6559\u80b2. \u5e94\u5bf9\u6280\u5de7. \u76d1\u63a7\u75c7\u72b6\u548c\u6cbb\u7597\u7684\u6301\u7eed\u3002 <\/p>\n
\u5176\u5b83
\n\u6709\u65f6\u5bf9\u65bc\u5728\u6025\u6027\u8e81\u671f\u6216\u662f\u81ea\u6740\u610f\u5ff5\u5f3a\u70c8\u65f6\uff0c\u5f3a\u8feb\u4f4f\u9662\u4e8b\u5e76\u9700\u7684 \u3002\u6709\u65f6\u81ea\u4f24\u884c\u4e3a\u4f1a\u4ee5\u95f4\u63a5\u7684\u65b9\u5f0f\u8868\u73b0\uff0c\u4f8b\u5982: \u5f00\u5feb\u8f66 . \u6ee5\u7528\u836f\u7269 . \u6311\u8845\u4ed6\u4eba…. \u3002<\/p>\n
\u8e81\u90c1\u75c7\u80fd\u6839\u6cbb\u5417\uff1f<\/p>\n
\u7531\u65bc\u75c5\u56e0\u4e0d\u6e05\u695a\uff0c\u56e0\u6b64\u76ee\u524d\u5c1a\u65e0\u6cd5\u6839\u6cbb\uff0c\u4f46\u53ef\u4ee5\u836f\u7269\u6cbb\u7597\uff0c\u51cf\u8f7b\u75c7\u72b6\u6216\u51cf\u5c11\u53d1\u4f5c\u6b21\u6570\u3002\u75c5\u60a3\u53ca\u5bb6\u5c5e\u82e5\u80fd\u53ca\u65e9\u63a5\u53d7\u9002\u5f53\u7684\u6cbb\u7597\uff0c\u89c4\u5219\u7684\u670d\u836f\uff0c\u4e0d\u56e0\u75c5\u60c5\u7a33\u5b9a\u800c\u81ea\u52a8\u505c\u6b62\u6cbb\u7597\uff0c\u53ef\u4f7f\u75c5\u4eba\u80fd\u7ef4\u6301\u6b63\u5e38\u7a33\u5b9a\u7684\u751f\u6d3b\u4e0e\u5de5\u4f5c\u3002<\/p>\n
\u75c7\u72b6\u53d1\u751f\u65f6\u5bb6\u4eba\u5982\u4f55\u534f\u52a9\u4ed6<\/p>\n
\u60c5\u7eea\u8fc7\u4efd\u9ad8\u6602\u65f6\u6709\u4ec0\u9ebc\u5fb5\u5146\uff1f<\/p>\n
\u5f53\u4f60\u5bdf\u89c9\u5230\u75c5\u4eba\u7a81\u7136\u663e\u5f97\u8fc7\u4efd\u5174\u594b\uff0c\u7cbe\u529b\u5145\u6c9b\uff0c\u597d\u4e89\u8bba\uff0c\u6613\u4e0e\u4eba\u8d77\u51b2\u7a81\uff0c\u8fc7\u4efd\u6177\u6168\u3001\u70ed\u5fc3\uff0c\u8fd9\u5c31\u662f\u60c5\u7eea\u9ad8\u6602\u7684\u5f00\u59cb\u3002<\/p>\n
\u5982\u4f55\u300c\u534f\u52a9\u300d\u4ed6\u5462\uff1f<\/p>\n
\u6b64\u65f6\u75c5\u4eba\u4f1a\u53d8\u5f97\u654f\u611f\uff0c\u5bb9\u6613\u53d7\u5468\u906d\u73af\u5883\u7684\u5f71\u54cd\uff0c\u65a4\u65a4\u8ba1\u8f83\uff0c\u7231\u6279\u8bc4\u3001\u6613\u6012\u53c8\u56fa\u6267\uff0c\u751a\u81f3\u4f1a\u51fa\u73b0\u4e0d\u5408\u7406\u7684\u8981\u6c42\u53ca\u884c\u4e3a\uff0c\u6211\u4eec\u5fc5\u987b\u4e86\u89e3\u8fd9\u4e9b\u662f\u75c7\u72b6\uff0c\u5bf9\u65bc\u53ef\u884c\u7684\u8981\u6c42\uff0c\u53ef\u4ee5\u540c\u610f\uff0c\u4e0d\u5408\u7406\u7684\u90e8\u4efd\u8981\u7528\u63a5\u53d7\u7684\u6001\u5ea6\uff0c\u8bda\u6073\u7684\u503e\u542c\uff0c\u4f46\u4e0d\u7acb\u5373\u7ed9\u4e88\u7b54\u8986\uff0c\u6765\u6682\u7f13\u4ed6\u4e0d\u5408\u7406\u7684\u8981\u6c42\u3002\u5047\u5982\u4ed6\u6fc0\u52a8\u5f97\u65e0\u6cd5\u63a5\u53d7\u529d\u89e3\u53ca\u8f6c\u79fb\u65f6\uff0c\u53ef\u4ee5\u80af\u5b9a\u3001\u575a\u51b3\u4f46\u4e0d\u8d23\u5907\u7684\u6001\u5ea6\u544a\u8bc9\u4ed6\uff1a\u300c\u6211\u4eec\u5f88\u5173\u5fc3\u4f60\uff0c\u4f46\u8fd9\u662f\u4e0d\u53ef\u4ee5\u7684\u3002\u300d\u5982\u6b64\u53ef\u8fbe\u5230\u9650\u5236\u7684\u76ee\u7684\uff0c\u4e5f\u4f7f\u75c5\u4eba\u611f\u53d7\u5230\u5b89\u5168\u4e0e\u4fe1\u4efb\u3002<\/p>\n
\u5bb6\u4eba\u8be5\u6ce8\u610f\u4e9b\u4ec0\u9ebc\uff1f<\/p>\n
\u56e0\u4e3a\u6d3b\u52a8\u91cf\u8fc7\u5927\uff0c\u6ce8\u610f\u529b\u4e0d\u96c6\u4e2d\uff0c\u800c\u6613\u758f\u5ffd\u7167\u987e\u672c\u8eab\u7684\u5b89\u5168\u3001\u8d77\u5c45\uff0c\u6240\u4ee5\u5fc5\u987b\u8981——<\/p>\n
\uff0a\u5e03\u7f6e\u4e00\u4e2a\u7b80\u5355\u3001\u5b89\u5168\u7684\u73af\u5883\u3002\u5c06\u526a\u5200\u3001\u70df\u7070\u7f38\u6536\u8d77\u6765\uff0c\u9632\u6b62\u4f5c\u4e3a\u529f\u51fb\u7684\u6b66\u5668\u3002<\/p>\n
\uff0a\u534f\u52a9\u6ce8\u610f\u8425\u517b\u7684\u6444\u53d6\u3002\u56e0\u4e3a\u8017\u8d39\u5927\u91cf\u4f53\u529b\uff0c\u987b\u5c11\u91cf\u591a\u9910\u4ee5\u8865\u5145\u6240\u987b\u7684\u8425\u517b\u3002<\/p>\n
\uff0a\u6ce8\u610f\u4e2a\u4eba\u536b\u751f\u7684\u5904\u7406\u56e0\u6ce8\u610f\u529b\u4e0d\u96c6\u4e2d\uff0c\u5bb9\u6613\u5ffd\u7565\u6f31\u6d17\u3001\u6c90\u6d74\u53ca\u8863\u670d\u7684\u66f4\u6362\uff0c\u987b\u5b9a\u671f\u63d0\u9192\u3002<\/p>\n
\u60c5\u7eea\u8fc7\u4efd\u4f4e\u843d\u65f6\uff0c\u6709\u4ec0\u9ebc\u5fb5\u5146\uff1f<\/p>\n
\u75c5\u4eba\u5448\u73b0\u51fa\u5fe7\u90c1\u60c5\u7eea\u5bf9\u5468\u56f4\u4e8b\u7269\u6f20\u4e0d\u5173\u5fc3\uff0c\u6c89\u6eba\u65bc\u4e0d\u8bf4\u4e00\u53e5\u8bdd\uff0c\u4e0d\u505a\u4efb\u4f55\u4e8b\uff0c\u6d3b\u52a8\u51cf\u5c11\u800c\u7f13\u6162\uff0c\u98df\u6b32\u4e0d\u632f\uff0c\u7761\u7720\u578b\u6001\u662f\u6613\u60ca\u9192\u6216\u65e9\u9192\u65f6\uff0c\u5c31\u8be5\u6ce8\u610f\u4e86\u3002<\/p>\n
\u5bb6\u4eba\u8be5\u6ce8\u610f\u4e9b\u4ec0\u9ebc\uff1f<\/p>\n
\uff0a\u7528\u7b80\u5355\u3001\u76f4\u63a5\u3001\u91cd\u8986\u7684\u8bed\u53e5\u6765\u63a5\u8fd1\u75c5\u4eba\uff0c\u4ee5\u4e86\u89e3\u3001\u5c0a\u91cd\u7684\u6001\u5ea6\u6765\u9f13\u52b1\u4ed6\u3002<\/p>\n
\uff0a\u6ce8\u610f\u8425\u517b\u7684\u6444\u53d6\u5c11\u91cf\u591a\u9910\uff0c\u5728\u65c1\u966a\u4f34\u3002\u98df\u7269\u7684\u51c6\u5907\uff0c\u8981\u6613\u5480\u56bc\u6d88\u5316\u4e14\u9ad8\u70ed\u91cf\u3001\u9ad8\u86cb\u767d\u8d28\u7684\u98df\u54c1\u3002\u75c5\u4eba\u5927\u591a\u4e0d\u4f1a\u4e3b\u52a8\u8981\u6c42\uff0c\u4e0d\u8981\u56e0\u75c5\u4eba\u62d2\u7edd\uff0c\u5c31\u628a\u98df\u7269\u53d6\u8d70\u3002<\/p>\n
\uff0a\u4e2a\u4eba\u536b\u751f\u7684\u5904\u7406\u534f\u52a9\u6f31\u6d17\u3001\u6c90\u6d74\u53ca\u8863\u670d\u66f4\u6362\u3002<\/p>\n
\uff0a\u7ed9\u4e88\u6309\u6469\uff0c\u4fc3\u8fdb\u8840\u6db2\u5faa\u73af\u534f\u52a9\u75c5\u4eba\u6309\u6469\u56db\u80a2\uff0c\u505a\u88ab\u52a8\u8fd0\u52a8\u3002<\/p>\n
\uff0a\u6ce8\u610f\u5468\u56f4\u7684\u73af\u5883\u51cf\u5c11\u5435\u6742\u58f0\u97f3\uff0c\u4ee5\u907f\u514d\u523a\u6fc0\uff0c\u4f46\u4ecd\u53ef\u5b89\u6392\u75c5\u4eba\u6d3b\u52a8\uff0c\u5e76\u9f13\u52b1\u4e0e\u4eba\u63a5\u89e6\u3002<\/p>\n
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