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目的:探讨精神科联络会诊现状及临床效果。方法对精神科联络会诊的359例患者的临床资料进行回顾性分析。结果总会诊率占同期住院患者的4.5%,其中神经内科9.9%、心内科7.0%、综合病房4.0%、消化内科3.4%、呼吸内科2.5%、外科1.8%。诊断:神经症占61.3%、躯体疾病所致精神障碍占21.7%、脑器质性疾病所致精神障碍占12.8%、非精神科诊断占4.2%。多以抗抑郁剂及抗精神病药物治疗为主,部分患者予以心理治疗或转入精神科接受治疗;显效率89.1%,总有效率98.3%。结论综合医院住院患者病种繁多,病情复杂,精神科联络会诊对鉴别诊断具有实际的临床价值。“,”Objective To explore consultation liaison psychiatry status quo and clinical effect .Methods Retrospective analyses of clinical data of 359 patients w ho undergone consultation liaison from Jan .2011 to Feb .2013 in our hospital were conducted .Results Total consultation rate made up 4 .5% of contemporaneous inpatients ,of the total neurological 9 .9% ,cardiological 7 .0% ,general 4 .0% ,digestive 3 .4% , respiratory 2 .5% and surgical 1 .8% .Diagnoses were that neurosis made up 61 .3% ,mental disorder due to systematic diseases 21 .7% ,mental disorder due to organic brain diseases 12 .8% and non-psychiatric diagnosis 4 .2% .Antidepressants and antipsychotics treatment were main ,par-tial patients received psychotherapy or were switched in to psychiatric department to receive treatment ;ob-vious and total effective rate were respectively 89 .1% and 98 .3% .Conclusion General hospital inpa-tients’ kinds of diseases are various and condition complex ,consultation liaison psychiatry has practical clinical value to differential diagnosis .