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1病例资料患者女,68岁。因“情绪低落,胃部不适两月余”入院。两个月前患者无明显诱因逐渐情绪低落,兴趣减退,整日疲乏,精力下降,言语活动减少,自责内疚,有负罪感;注意力不集中,记忆力下降,反应迟钝;担心、害怕、紧张,思虑过多;伴胃部不适,反酸、嗳气、呕吐等,口内酸水,胸腹部间断性火辣辣样不适。1月余前在我院胃镜检查无异常,但症状一直存在,饮食下降,夜眠差,入睡困难,早醒,每晚仅睡2~3 h。患者精神萎靡,食欲差,大小便正常,体重有所下降。高血压病
1 case data patient female, 68 years old. Because of “depression, stomach up more than two months ” admission. Two months ago, there was no obvious incentive for the patients to get depressed gradually, the interest decreased, the exhaustion of the whole day, the decrease of the energy, the decrease of verbal activity, the guilt of self-blame and the sense of guilt; the loss of concentration, the decline of memory and the unresponsiveness; the fear, Tension, excessive thought; with stomach discomfort, acid reflux, belching, vomiting, mouth acid, chest and abdomen intermittent hot and spicy like discomfort. 1 month before my gastroscopy in our hospital no abnormalities, but the symptoms have always existed, diet, night sleep difference, difficulty falling asleep, early awakening, sleep only 2 ~ 3 h per night. Patients with apathetic, poor appetite, normal urine, weight decreased. High blood pressure