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在精神科的综合医院中精神医学正在受到重视。随着医疗技术的显著进步,脏器移植、透析、ICU 等的开展,必然出现了各种精神医学的问题。就肾移植而言就有肾障碍时脑实质问题,供肾的选择问题,移植后的集中管理所伴发的精神负担问题,免疫抑制剂副作用的影响问题,及对排斥反应的恐怖等问题。这些都正在成为精神科的问题。欧美的精神科医生乃至临床心理人员正在成为移植组的一员。本文将侧重肾移植伴随精神医学予以概述,并期望受到普遍重视。身体因素肾移植时既要考虑精神医学这一面,更应考虑机体本身受到的精神影响。当患者出现精神科的症状时,精神科医生及其他科医生有时随意倾向于心因
Psychiatry is being taken seriously in psychiatric general hospitals. With the significant advances in medical technology, organ transplantation, dialysis, ICU, etc., there are bound to be a variety of psychiatric problems. As for kidney transplantation, there are problems of brain parenchyma, selection of kidneys, mental burden associated with centralized management after transplantation, side effects of immunosuppressive agents, and horror of rejection. These are all issues of psychiatry. Psychiatrists and even clinical psychologists in Europe and the United States are becoming members of the transplant team. This article will focus on renal transplantation with psychiatric to be outlined, and expect to receive universal attention. Body factors Kidney transplantation should consider both the psychiatric side, but also consider the spirit of the body itself affected. Psychiatrists and other physicians sometimes tend to be psychologically distressed when patients have psychiatric symptoms