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目的探讨流浪精神障碍患者肇事肇祸情况及对策。方法对2010年1月~2014年1月,因肇事肇祸而住院的124例流浪精神障碍患者进行分析。结果男92例,女32例,占流浪精神患者总数的73.8%,精神分裂症居首位;症状以伤人、毁物、危害社会治安为主;均为精神症状所致(幻觉,妄想,易激惹,行为紊乱)。结论对重症精神障碍患者加强属地管理,特别是对有肇事肇祸倾向的精神疾障碍患者应加强治疗和监护,以维护社会稳定。“,”Objective To investigate the homeless people with mental disorders troublemaking situation and countermeasures. Methods January 2010 -2014 in January, due to troublemaking 124 cases hospitalized homeless people with mental disorders were analyzed. Results Male 92 cases, female 32 cases, accounting for 73.8 percent of the total homeless mental patients with schizophrenia in the first place;symptoms of assault, destruction of property, endangering social order based;psychiatric symptoms are caused by (hal ucinations, delusions , ir itability, behavior disorders).Conclusion Patients with severe mental disorders to strengthen local management, especial y the tendency to have the troublemaking mental il ness disorders treatment and monitoring should be strengthened in order to maintain social stability.